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www.careinfo.org Staff / recruitment... Property marketplace... Innovation... Expert analysis...

CMA final guidance Legionella liability on consumer law Global capital poised to Improving occupancy pour money into care

January 2019 Social care business management

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January 2019 inside www.careinfo.org

10 12 14 20 22 36 ethical engagement with public sector bodies Care Provider Alliance publishes principles for SEVEN SHINING VIRTUES home operators must comply with consumer law The Competition & Markets Authority says care CMA FINAL GUIDANCE can keep their competitive edge ANNE SMITH outlines how care home operators IMPROVING OCCUPANCY foreign investment courts UK care sector Major operators manouvre to restructure as GLOBAL CAPITAL INFLUX new manager Jack Titterton INTERVIEW: with Braeburn Lodge’s CREATIVE LEADERSHIP where providers have been held accountable LAURA GUNTRIP highlights two recent cases LEGIONELLA LIABILITY

20TH NATIONAL CARE AWARDS GALA NIGHT

Meet the winners! See page 24

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 social care business management SUBSCRIPTION FORM • still only £70.00 a year • published for over 28 years the longest in the sector! • independently audited by ABC • news, business, financial, property, expert advice, policy and more... Name...... Billing address of card if different to above...... Address...... Postcode...... Daytime phone number ...... Please call 01371 851808 if you would like give your Signed ...... details over the phone or to pay by Direct Debit 3 Date ...... Please return this form to Esco Business Services, Trinity Please indicate one payment method below House, Sculpins Lane, Wethersfield, Braintree CM7 4AY o I enclose a cheque for £_____._____ made payable to Fax 01371 851808 Hawker Publications If you would like to be invoiced for your subscription, o I would like to pay by Maestro (Switch), Visa or MasterCard would like to set up a direct debit, receive subscription Card Number ...... forms through the post or if you have any subscription Expiry Date ...... queries; please email [email protected] or phone Start date (if on card)...... 01371 851802 Issue number (Maestro only)...... Please note that we cannot accept orders by email as we Last 3 numbers on signature strip...... cannot guarantee the security of payment details 02-11CT0119gh.qxp_Layout 1 07/12/2018 14:01 Page 4

January 2019 news www.careinfo.org Anchor Hanover Group created

Anchor Hanover, England’s largest provider of care to provide more services, driven by the needs and and housing for older people, has been formed from aspirations of our ageing society. This could include the merger of Hanover Housing Association and social rented, shared ownership and outright sale Anchor Trust. new homes.” With more than 60,000 homes across 1,700 Anchor Hanover chief executive Jane Ashcroft said locations supported by more than 9,000 colleagues, the new organisation would be able to offer better the new organisation formally launched on Monday, career options and attract and retain great people. 3rd December. Anchor Hanover now operates in “For more than 50 years, Anchor and Hanover have more than 90% of local councils in England. helped people enjoy later life,” Ms Ashcroft. Both organisations started out in the 1960s and “Today, in an ageing society, our housing, care and now, the newly merged organisation provides rented support is needed more than ever. Together, we can and leasehold retirement housing and residential care provide a bigger range of housing and care options homes across England. and build more new locations. Anchor Hanover “More specialist housing and care will be needed provides an exciting opportunity to create a brighter, Anchor Hanover chief executive Jane Ashcroft going forwards, with new types of services,” said happier future for more people.” with chairman Dr Stuart Burgess. Anchor Hanover chair Dr Stuart Burgess. “Anchor Hanover can offer more options, have a stronger voice with government and local councils, operate more efficiently and build more properties Community healthcare teams for older people. We have ambitious plans and want

Editorial & advertising to treat care home residents Hawker Publications, Lombard Business Centre, 12 Deer Park Road, Wimbledon, SW19 3FB Following a successful pilot scheme, the Government older people, ten days in a hospital bed led to the Tel: 020 7720 2108 • Fax: 020 7498 3023. is to implement a national programme that will see equivalent of ten years of muscle ageing – risking their Website: www.careinfo.org healthcare professionals assigned to care homes health and reducing their independence. Annual subscriptions: UK £70 pa, where they can provide tailored treatment and support. “Too often people end up in hospital, not Europe £90 pa, Rest of world £100pa The programme will be funded as part of the because it’s the best place to meet their needs but Cheques payable to: “Hawker Publications” Esco Government’s £3.5bn a year investment pledge in because the support that would allow them to be Business Services, Trinity House, Sculpins Lane, primary and community care. It is intended that treated or recover in their own home just isn’t Wethersfield, BRAINTREE CM7 4AY residents will receive more personalised and timely available,” said Mrs May. “Many of us might assume Tel: 01371 851802 • Fax: 01371 851808 care where they live, through teams that will also that hospital is the safest place to be – but in reality Editor Geoff Hodgson – 01929 556827 include pharmacists and GPs who can offer many patients would be much better off being [email protected] emergency care out of hours. cared for in the community.” Advertisement & event sales director In April, a pilot service offering daily support to four Caroline Bowern [email protected] nursing homes resulted in a 36% drop in emergency Design and production Andrew Chapman admissions to hospital, with the largest reductions [email protected] happening during the last three months of a person’s Editor-in-chief Dr Richard Hawkins life. An evaluation found that emergency bed days Copy editor Irene Johnson spent in hospital fell by 53%. MAJOR NEW WEBSITE FOR Caring Times is published eleven times a year by Announcing the funding on November 21, Prime THE DEMENTIA SECTOR! Hawker Publications. ISSN 0953-4873 Minister Theresa May said there was evidence that for Printed by GD Web Offset Ltd, Wath-upon-Dearne 4 Average net circulation of 9,606 (July 2017 – June 2018) © Hawker Publications 2019 COMPANY INDEX Deadlines for February issue Display advert. space booking: January 11 Alliance Care ...... 20 Hamberley Care . . . . . 42 Display advertising copy: January 15 Allied Healthcare ...... 39 Hadrian Healthcare ...... 34 Product news copy: January 15 Anchor Hanover ...... 4, 22 Hartford Care ...... 23 Editorial copy: January 3 Barchester Healthcare . . . . 14, 36 HC-One ...... 8, 22, 36 The views expressed in Caring Times are not necessarily those of Bluebird Care (South Glos.) . . . . 22 Hica Group . . . . . 23 the editor or publishers. Bupa Care Homes ...... 20 Motor & Allied Trades Benevolent Fund . 22 Care Management Group ...... 22 MyLife Cambridge . . . . . 23 Reach the right audience... Care South ...... 23, 42 New Care . . . . . 23 Contact Advertising Director Caroline Bowern Care UK . . . 36 Regard ...... 22 to discuss your advertising or Colten Care ...... 8 Renaissance Care ...... 23, 45 ...... sponsorship requirements at Community Integrated Care 22 Stow Healthcare 22 Four Seasons Health Care . . . 36 Westward Care ...... 22 [email protected] 02-11CT0119gh.qxp_Layout 1 07/12/2018 14:01 Page 5 02-11CT0119gh.qxp_Layout 1 07/12/2018 14:01 Page 6

January 2019 promotion www.careinfo.org Building your care home’s This feature aims to give you online presence a range of useful and actionable tips to help you A fantastic online presence is key to appealing to end the post with a clear call to action such as getting in prospective residents and is an essential part of a care touch with your care manager who can arrange a time to get ahead of the curve and home’s overall marketing strategy. view the home.” Research shows that health related information is the make an impact online. single most searched internet topic. When families need Search Engine Optimisation help with caring for a loved one they go online to Optimising your website for search engines to get on that list of keywords or search terms you want your website research, not only looking at their care options but also first page is key to increasing traffic and enquiries on your to appear in search engines for, and use this to inform all for information that can help the family to decide on the website. There are many factors affecting your search of the content created for your website either in your best way forward and answer their questions. engine ranking and these are always changing, however pages or blog posts. However, he mentioned that it is key Shaun Louis is the founder of the Social Care Hub, a Louis outlines a few things that you can do to keep on with this to also write fluidly and integrate keywords into leading marketing agency working with care and nursing top. your pages’ content, rather than placing a list of them in homes across the country. He says: “As a care home, Research the competition: Find out what keywords one area of your site. being ahead of the curve in terms of your online presence your competitors come up for in search results, and who allows you to be found earlier in consumer’s online is linking to their website e.g. ‘Care Homes in Paid Search Ads journey, and if done correctly will keep your brand top of Cambridge’. You can then use these findings to inform Another highly effective way to gain new enquiries is to mind when they start looking at their care options.” your own strategy. run paid search ads, these are search engine like listings Now this is all well and good, but how do you go about Mobile first design: Make sure your website is served at the top and bottom of the search engines’ getting started? mobile friendly & easy to navigate. “Over 52% of web results pages. pages globally are served to mobile devices, meaning it Similar to search engine optimisation, you would need Blog is integral to have a mobile optimised website. This to start by drafting up different search terms that your A blog is a great place to start, not only for improving your avoids users leaving your site due to the fact it can’t be prospective residents would look for online e.g. ‘Care search engine rankings but building relevant and navigated on the device they are using,” he says. Home in Reading’ or ‘Dementia Care in Reading’. You informative content that you can post across all of your Work on gaining new backlinks: backlinks remain can then run ads on a pay per click basis against these care home’s social media accounts to drive more traffic the biggest factor affecting your websites ranking in search terms, that are targeted to people in your to your website. search engines. Louis says “in essence this means geographical area. Louis’ advice is to begin is by mapping out all of the another website with a link directly to yours”. You can Using a platform like Google AdWords or Bing Ads is questions you get asked by people first enquiring into start by asking suppliers and partner companies to link by no means a plug and play solution, and there are lots your home and think about what information prospective you on their websites and ensure that any external web of complexities to get right. Louis adds, “Despite this and residents and their families would find useful. He adds, content created about your company includes a link back with ongoing monitoring and tweaking, paid search ads “For example, you may get lots of questions initially about to your care home’s site. are a fantastic way to gain traffic and generate good funding a care home place. Using this information, you Keywords: Keywords are incredibly important when quality and targeted enquiries.” could create a post around paying for care home fees, optimising your website for search engines. Louis break down the options available for different groups and believes the best way to get started is by planning out a Social Media The rise of social media has given care homes the unique opportunity to reach prospective residents and keep the conversation going with people who visit your website but have not yet made an enquiry. Louis goes on to say, “Most of success on social 6 media comes down to stories and emotion, and with so much great stuff going on in care homes it makes regularly posting out content onto these platforms a no- brainer.” Relevant content could include your blog posts, residents’ stories, updates, events and documenting day to day activities in your home and will help in building brand awareness. Working on your social media presence will not only set you apart from the competition, but make prospective residents and families feel more confident about the quality of your home and the care provided there when researching online.

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January 2019 news DIGEST www.careinfo.org

BEHAN JOINS HC-ONE homes to comply with consumer law. The aim is to produce these clauses by HAMPSHIRE CARE HOME GOES LATIN March/April 2019. The CPA has been liaising with the CMA and the DHSC on The sights and sounds of South America came to Hampshire this plan and timeframe. when a Lymington care home staged a Latin Day. The CPA will also look at how it can Residents at Colten Care’s Linden House donned som- support care homes with some breros and enjoyed Tequila Sunrise ‘mocktails’ as they tried suggestions around a fee increase formula that meets the CMA’s guidance their hand at a variety of instruments, ranging from small gui- that residents understand how fee tars and guiros (a Latin American percussion instrument) to increases are determined by homes and ukuleles and maracas. that the process is transparent. Keyboard entertainer Mark Bussell provided musical accom- The CPA is exploring use of Primary paniment while food on offer included tapas. Sir David Behan with HC-One Authority to provide assurance and “We had about 20 residents taking part and it was a chairman Dr Chai Patel consistency of interpretation across all great success,” said Fiona Pritchard, Colten Care’s music and areas of the country and says more arts partner. Sir David Behan, former chief executive of information will be provided on this in “Latin music is infectious. You can’t help tapping your feet the Care Quality Commission, has joined due course. and clicking your fingers. That was definitely the case with our the board of major care home operator Latin Day. Comments from our residents ranged from ‘great HC-One as a non-executive director. OMBUDSMAN SAYS fun’ and ‘very enjoyable’ to ‘friendly and festive.’ Everyone had The appointment is Sir David’s only a really good time and we will certainly be holding similar events residential care sector post after COMPLAINTS POINT TO departing from the CQC in July, where he in the future.” had been chief executive for six years. INCREASING PRESSURE Family-owned Colten Care has 20 quality care homes across His previous roles, all in the public sector, ON LOCAL AUTHORITIES Dorset, Hampshire, Wiltshire and Sussex, and offers a range of include director general for social care, services spanning residential, nursing and dementia care. local government and care partnerships Over the past year, the Local Linden House, which has been rated ‘outstanding’ by the at the Department of Health and director Government and Social Care Care Quality Commission is one of five Colten Care homes of- of social services for the Ombudsman has become increasingly fering dedicated dementia care. Borough of Greenwich, and before that concerned about the way some for Cleveland County Council. authorities are handling the need In his new role at HC-One, Sir David to balance the pressures they are compared to our general work. We digital standards within the social care will be working with the board to help under with the way they assess and know authorities are operating under an sector, including the development of a maintain and develop the company’s charge for care. enormous amount of pressure and core set of requirements for care quality of services, providing “the kindest “It’s no longer just one-off mistakes; financial challenge to deliver care providers to use when procuring new IT care to its residents”, and build on HC- we’re seeing problems with systems, services. The stark reality of this is now systems, as well as best practice for One’s existing work to develop industry- policies and the way procedures are playing out in the complaints we see.” managing IT suppliers. leading career opportunities for its staff. being applied,” says Local Government and Social Care Ombudsman Michael NHS DIGITAL FUNDING TRAINING SUBSIDIES CPA RESPONDS TO King in his annual review of adult social care complaints. TO HELP ADULT SOCIAL DEVELOP MODEL The report, which looks at the data behind every adult social care complaint CARE PROVIDER SECTOR CONTRACT CLAUSES the Ombudsman has received over the 12-month period, shows there has been NHS Digital has awarded £793,000 to The Care Provider Alliance (CPA), made a 9% increase in complaints about the members of the Care Provider up of several care provider charging. And of those complaints, it is Alliance (CPA) to deliver a new sector- 8 organisations, says it will take forward upholding 67% – higher than the led service which will offer digital for the sector two pieces of further average uphold rate for adult social care support for social care providers. work in response to the final guidance of 62%, and greater still than the 57% From now until March 2021, the Since its launch in 2011, the Workforce to care homes on consumer law uphold rate for all complaints the members of the CPA (an affiliation of Development Fund (WDF) has helped to compliance published in mid- Ombudsman investigates. various provider representative support more than 140,000 learners to November by the Competition and “Assessment and care planning, and organisations) will work to understand complete adult social care qualifications Markets Authority (CMA). how care is paid for, remain some of the current levels of digital maturity, while and learning programmes. The fund The CPA will develop model contract biggest areas of complaint,” said Mr helping the care provider sector to provides social care employers in clauses and support materials to help King. “Even more concerning is that the embrace the digital agenda, England with a means to offer learning providers respond to the range of issues we see demonstrate a shift from encouraging the uptake of existing and development opportunities to their information the CMA is recommending one-off mistakes to problems with whole digital resources that care providers can workforce, which otherwise may not be providers give to residents and systems and policies, or procedures use to support integrated care. possible due to the cost. prospective residents. The CPA will being incorrectly applied. The service will engage directly with In 2017/18, more than 3,400 seek to ensure that the clauses, which “Adult social care has seen sustained providers to develop national guidance organisations claimed money from the will not be prescriptive, will support care high levels of complaints upheld on a range of issues to develop open WDF towards developing their 02-11CT0119gh.qxp_Layout 1 07/12/2018 14:01 Page 9

January 2019 news DIGEST www.careinfo.org

streams for care homes. Change contracts on this basis, Following a thorough search process meaning tens of thousands of frontline led by Ben Westcott at Compass staff in the voluntary, social enterprise Executives, Richard Muncaster will and independent health and care sec- succeed Alex as chief executive. tors are missing out. Richard brings more than 20 years’ The NHS Confederation warns that experience in the voluntary sector, the uneven playing field could desta- leading teams in a variety of income bilise the already fragile community generation, marketing, programme services sector where around half of delivery, volunteering, communications, all services are delivered by non-statu- policy and campaigning roles. tory providers, and that it is highly likely that social care will face even greater difficulties in recruiting the staff CARE ENGLAND CALLS it needs if all candidates are not of- fered the same pay deal. FOR A NEW APPROACH TO COMMISSIONING TORY SUPPORTERS SAY Provider representative body Care THOSE WHO CAN PAY England has expressed concern about what it describes as poor FOR CARE, SHOULD PAY commissioning impacting upon providers’ ability to deliver services and A census-wide survey, commissioned plan ahead. Care England has long by social care specialist law firm Rid- called for commissioners to be subject outs Professional Services, shows to independent scrutiny, as part of a there is widespread support for indi- wider agenda seeking greater viduals to save for the cost of their consistency and transparency in care in later life. commissioning practice and the setting More than half (57%) of Conserva- of fees at the true cost of care. tive supporters surveyed thought it The association’s chief executive, would be fair to ask those with the employees. The WDF says it makes RAMAMURTHY STEPS Professor Martin Green, points out that means to do so, to make provisions employers’ training budgets go further, this view was echoed by the Care to pay for their care in old age. helping to ensure their workforce has DOWN AS CEO OF CARE Quality Commission in its recent Beyond The survey also revealed that the right knowledge and skills. Barriers Report on integrated care more than half of Conservative sup- Employers say they have found “that the WORKERS CHARITY systems, which called for new legislation porters (55%) also agreed politicians WDF has helped them to address skills in order that CQC could regulate how should not allow people to avoid pay- gaps and staff morale has improved”. Alex Ramamurthy is to stand down as people and organisations work together ing for their relatives’ care, or their Any an adult social care employer chief executive of The Care Workers to support people to stay well. own care, if they can afford to pay for operating in England can apply for the Charity (CWC) with effect from 30th it, rather than making the taxpayer funding and can claim up to £1,200 per November 2018, having led the NHS CONFEDERATION pick up . learner, per funding year, upon organisation through a two-year The idea of using public money to completion, towards the cost of listed transformation period which resulted in CALLS FOR PAY PARITY train care staff is supported in the qualifications and learning programmes. CWC winning Change Project of the Year polling by 54% of all respondents, The amount of funding an employer can and being shortlisted for Charity of the Efforts to integrate health and care with Conservative supporters again apply for depends on the qualification of Year at the 2018 Charity Times Awards. services will be undermined if some most likely to agree (65%). This learning programme. Alex will join the board as trustee and health and care staff are awarded a chimes with a recommendation from Examples of what could be claimed: will support CWC through a six-month pay-rise while others miss out, the Ridouts’ recent policy report that care 9 • Level 2 Diploma in Care: £690 transition period in a part-time NHS Confederation has warned. providers who offer high-quality staff • Level 3 Diploma in Adult Care: consultancy role, continuing to provide Following a government announce- training programmes should receive £870 the benefit of his network and experience ment in March of a pay-rise for all em- match-funding from Government. • Level 4 Diploma in Adult Care: across the sector with a focus on ployees on Agenda for Change “The results of this survey support £1,050 nurturing entrepreneurial activity and contracts in publicly owned providers, the Government putting a new focus • Level 5 Diploma in Leadership for partnerships. lobbying by social care, voluntary, GP, on fairness in the funding of social Health and Social Care and Alex will be moving on to his own social enterprise, independent sector care,” said Ridouts founder and man- Children and Young People’s startup venture; a booking platform organisations and trade unions saw aging director Paul Ridout. Services, adult pathways: £1,200 which will allow care homes to rent out this extended to non-statutory “People who can afford to pay for • ‘Lead to Succeed’ learning their communal space to host adult day providers of NHS services. their care should pay for it, backed programme: £350 clubs. The business will bring older However, according to the NHS with a support system for those who Employers interested in learning adults from the community into care Confederation, only a limited number can’t. We need to see greater self-re- more about the WDF can benefit visit homes addressing loneliness and social of non-statutory providers of care cur- sponsibility when it comes to funding www.goo.gl/Dmcbs isolation, whilst generating new revenue rently employ their staff on Agenda for social care.” 02-11CT0119gh.qxp_Layout 1 07/12/2018 14:01 Page 10

January 2019 news www.careinfo.org CMA publishes final consumer law guidance to care homes

Final guidance on how care home operators should places may be considered ‘hidden’ and therefore unavoidable for some residents because of their frame placement contracts and meet consumer law unfair under consumer law. circumstances (e.g. where staff need to accompany obligations was published late last week (1th Nov.) by • Fee increase terms need to be treated with great them to medical appointments). the Competition and Markets Authority (CMA). care, and must not allow providers to increase fees • Details of upfront payments required, e.g the Care home operators who fail to follow the arbitrarily. Fee variation terms should set out clearly amount of a deposit, the risk it protects the operator guidance may face action from the CMA, Trading the circumstances in which the resident’s fees may against, how it will be protected and refunded. Standards, or others, who can bring court change and the method of calculating the change. proceedings, seek compensation on behalf of The CMA says care home providers should explain all residents and bring criminal prosecutions. The CMA says care homes must draw key information the key information at the beginning of their first visit The guidance covers what information care homes to prospective residents attention when they first to a home (i.e. before they are shown around) and must give to prospective residents and their families, contact and explain: ensure that prospective customers are provided with and highlights how providers can ensure contract terms • Which residents the care home accepts (e.g. the key information in written form to take away. Staff are fair, and how to handle complaints fairly. state and self-funded). should be trained to provide this information.’ “Prospective residents and their families need clear, • The type of care offered. In an open letter to care providers published at the accurate, prominent and timely, upfront information,” • An overview of the rooms, facilities and services same time as the guidance, the CMA said that it and the guidance warns. available to residents. other enforcers, such as Trading Standards Services, “For example, not being able to find the necessary • Pricing (including any upfront payments) and could take action against care homes that don’t information about pricing and terms and conditions on service. comply with consumer law. The CMA has already a provider’s website, or receiving key information only • The size of the home (i.e. how many beds it has). taken action against some care home providers in after someone has already expressed an interest in • A brief description of staffing arrangements. relation to the charging of certain upfront fees and moving into a home, is likely to affect a prospective • Highlight any surprising or important terms and charging fees for extended periods of time after a resident and their family’s ability to make informed conditions, such as any requirement for self-funders resident’s death. ‘ decisions.” to demonstrate they can pay for their own care for a The CMA will be carrying out a compliance review, The CMA guidance is explicit and includes: minimum period of time and how self-funded starting in November 2019, to assess the level of • A requirement to provide key information upfront residents’ fees may change during their stay. compliance by care homes with consumer law, and and in a timely manner, including on websites, so that • An accurate and representative indication of the the progress made since publication of today’s advice. potential residents and their families can make an total weekly fee rates typically charged for self- The regulator is also publishing a guide for potential informed decision before signing a contract - including funders, for each type of care service offered. What care home residents to make sure they are aware of full, accurate and up-to-date fee breakdowns. services are included in weekly fees and any optional, their rights. • Contract terms must be clear, easy to additional ‘extras’ which are not included and may I To read the CMA guidance go to: understand and accessible. For example, terms need to be paid for separately. https://www.gov.uk/cma-cases/care-homes- contained in multiple documents located in different • Any significant, additional costs that may be market-study

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January 2019 promotion www.careinfo.org Live data for decision makers

We are the UK’s leading designer and manufacturer of wireless nurse call technology. Our high-quality UK manufactured technology coupled with class-leading support is trusted by well-known care homes, NHS Trusts and private hospitals. Courtney Thorne’s SMART nurse call system is designed to help with service improvements and reduce operating costs. We provide live data into the hands of decision-makers which also acts as a crucial audit tool to aid them in monitoring and improving resident and patient safety and staff activity. Our wireless accessory connector Altra Link has launched earlier in 2018. This innovative device helps to prevent trips and falls in all care home and hospital environments by wirelessly connecting commonly used hardwired assistive technology to the SMART Altra Nurse Call System without any hazardous cables or wires. Typically nurse call installations will incorporate chair and bed pads, floor mats, infrared (IR) sensors, and fall monitors, all individually cabled to associated bed or room units. Now with Altra Link any of these nurse call accessories, switches, triggers and many other wired devices can simply and safely connect via Bluetooth, eliminating the need for unsafe trailing cables and wires. With Altra Link, Courtney Thorne offers the industry’s first and only true wireless Nurse call system. Courtney Thorne is committed to delivering high-quality solutions, from initial consultation and installation to ongoing customer service. We are experienced at advising on the most suitable solution whilst meeting your exact requirements now and for your operation’s future. Come to speak to us to find out about the latest nurse call technology in the industry. www.c-t.co.uk

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January 2019 management www.careinfo.org

ttracting the private market and ANNE SMITH, of Brilliant Care Solutions, filling beds with self-funding Aresidents is an increasing challenge says care homes can keep their competitive as providers compete to succeed and as potential customers and their families edge by having a rigorous occupancy become more and more discerning. An management plan. empty bed is costly, and several empty beds can be very damaging financially. When conducting an occupancy [email protected] management review, it is important to identify whether there is an enquiry www.brilliantcaresolutions.co.uk Improving occupancy

generation problem or a conversion to Conventional advertising isn’t quite dead Every contact with an enquirer is an occupancy problem, or both. Managers can in the water and certainly has its place for opportunity to make a positive impact and to determine where particular focus is needed new homes yet to be established in the foster relationships which at the very least will by analysing numbers of enquiries and community and on line. Providers, though, enhance reputation but may well result in a enquiry type on at least a monthly basis and should ensure that advertising and long-term relationship with the home. Positive by calculating the conversion rate in the marketing expenditure is money well spent first impressions are therefore vital whether it context of bed availability. by making certain that websites, brochures is face to face, on the phone or via email. The care home has to be a quality product and the like, are better than those of their Arguably, enquiry management is not a and should be rated highly by regulators. competitors and that the team responsible is hard sell process but more of a courtship, the There are also other measures to complement well trained in receiving enquiries and speed of which is dictated by the enquirer a good regulatory report or offset a poor one. managing them to best effect. and their circumstances but which the care Search engines, for instance will highlight Good curb appeal is always helpful in home team seeks to sustain through customer ratings and provide direction to attracting both the serious and speculative communication and support. care home ranking sites, so it’s really enquirer and the home should be easy to Other key enquiry management skills important for homes to manage their scores locate and to park at. include genuinely warm meeting and by seeking and securing high customer greeting skills, a well thought out show ratings from satisfied relatives and residents. round, well managed show rooms and rigour Enquiry generation needs people to know Arguably, enquiry in following up to secure a satisfactory end about the home’s existence and to like what management is not a hard sell point. Meticulous record keeping is needed they see or hear; this is best achieved by the process but more of a to guarantee an efficient process and one home being an integral part of the local which can be analysed effectively. Knowing community and healthcare set up, and by courtship, the speed of which who is successful at show rounds for having a positive reputation. An effective is dictated by the enquirer instance, can help identify those staff with a presence on social media is almost as and their circumstances. real talent for converting enquiries to important and is dependent on well written, admissions and who should be supported to widely disseminated content. carry on doing so. Management is a crucial element of successful occupancy. Managers should 12 analyse enquiry figures, ensure a full occupancy management review is carried out regularly and that there is an occupancy management plan in place. With so many interventions available to improve occupancy, knowing what and how much is being done is essential. The more Jobseekers: easier to find the role you want BRAND NEW interventions carried out to improve occupancy, the better the competitive edge WEBSITE FOR Employers: easier to find the RIGHT fit for and the result. To ensure potential residents THE CARE AND your organisation, at lower cost and their families get the best experience DEMENTIA from the outset and to maximise a care job postings • community • career advice • blogs SECTOR! home’s occupancy, all the occupancy management interventions available need to be deployed. 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 13

January 2019 legal landscape www.careinfo.org Providers should review contracts in line with CMA guidance

he Competition and Markets Authority JENNY WILDE, senior (CMA) has published advice for care Thome businesses about their associate solicitor with obligations under consumer law. This guidance follows a two-year Ridouts professional investigation into the non-compliance of care Services, says failure to homes and a market study into the sector. The CMA found that some care home comply with consumer law residents were at risk of unfair treatment, can have serious financial and recommended urgent reform. The resulting advice is 150 pages long and and reputational implications. in the document the CMA outlines what upfront information care homes should give www.ridout-law.com to potential residents, families or representatives to help them make informed choices. It emphasises that information excessively long. A member of staff should be should include “an indication of the fees charged dedicated to ensuring that terms have been to self-funders, and any important or ‘surprising’ read and understood so that there can be no terms and conditions that would apply”. question about whether or not the service The guidance attempts to give practical users and their families are clear on what the advice on how care homes can make sure agreement entails. contract terms and the way residents and Direct channels of communication should their representatives are treated is fair, as be open between the provider and the time required to empty a room of a service well as how to handle complaints fairly and families in the run up to admission to resolve user’s belongings and prepare it for the next ensure their complaints procedure is easy to as many queries as possible in advance of the person). Providers will need to carefully find and use. The latter is a pre-existing placement, although often the nature of such reflect on this issue and consider how it can regulatory requirement that providers placements doesn’t always allow for this. be given a long term, contractual solution so should already have addressed. Areas of the guidance demonstrate a clear that all parties are comfortable with how this This guidance relates to all service users, attempt by the CMA to position itself as an matter will be dealt with. regardless of whether they are self-paying additional regulator. The CMA has indicated that in one year it or state-funded. The new guidance on performing service will conduct a review to assess care homes' with “reasonable care and skill” overlaps compliance with consumer law, but could Court action & complaints with CQC requirements, raising the take action before then if it finds care homes The guidance warns that care homes failing prospect of parallel enforcement actions for are treating residents and their families to comply could face court action to stop operators. This has the potential to be very unfairly and breaking the law. Their infringements and seek compensation and, in confusing for providers and is an methods of investigation and involvement some cases, criminal prosecution. Residents unnecessary duplication. are not yet clear. 13 are also able to seek damages in the courts The CMA has sent an open letter to care Recent case law involving care home and the CMA has stated that unfair contract homes reminding them of their providers has shown that failure to comply terms would be unenforceable. responsibilities and suggesting they review with consumer law can have serious financial Providers should inevitably expect more the advice. Echoing this suggestion, Ridouts and reputational implications, so complaints about their fees and contracts as a recommends that providers fully reflect on organisations offering care services are result of this development. It would be their existing contracts and the way that they advised to reflect and amend agreements prudent for providers to review and revise are presented to and digested by service now, if necessary, to prevent any disputes service user contracts as a priority in order to users and their families. going forwards. ensure that they comply with consumer law There are particular scenarios addressed Basic housekeeping and organisation now to avoid costly disputes going forward. by the guidance, for example, care fees could avoid significant disruption in the A practical approach should be taken to charged after death that pose their own future and we advise that the guidance be contracts. Providers should use contracts that problems from a contractual perspective (e.g. reviewed carefully and advice taken on the are clear, use plain English and are not balancing sensitivity with the practicality of potential pitfalls of existing contracts. 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 14

January 2019 management www.careinfo.org Taking a creative lead

aving qualified as a registered JACK TITTERTON , manager of Barchester Healthcare’s nurse in early 2013, Jack Titterton worked for the NHS Braeburn Lodge near Peterborough, talks to Caring Times for a year and then took to editor Geoff Hodgson about the challenges, excitement and Hagency nursing where he provided medical, surgical, community and elderly nursing satisfaction of his job. care across many settings before taking a permanent post nursing in the intensive Jack soon realised he wanted to progress management aspects, particularly the care unit at Queens Medical Centre in in the field of elderly care and moved from commercial considerations? Nottingham. the nursing home in Lincolnshire to a 60- “As manager of a nursing home you need “The environment was extremely bed care home in Nottinghamshire to have the clinical side on point and engaging and the cases I was involved in operated by Barchester Healthcare, again as organised because you have to make sure and the lessons learned will stay with me deputy manager. Just under a year later, that your residents are cared for, and that for life,” said Jack. when he was 26, Jack was offered the post the care is properly co-ordinated,” he said. “But the shift patterns did not suit family of manager. “But of course you wouldn’t have a home life and, having a young daughter, I felt I “The culture within Barchester is fantastic if it wasn’t commercially viable. There is a needed to move to a more family friendly and allows those who have the will, desire massive emphasis on this in Barchester; we post. So I took a post as deputy manager at and drive to progress to follow their have regional directors and business a nursing home in Lincolnshire. dreams,” said Jack. finance partners and they all lead you in the “This was a real eye-opener. The “Managing a care home allows me to take right direction and support managers in transition from an acute intensive care the lead, to be creative about how we get terms of contracts. But really, it’s just a setting to a nursing home environment is things done, and I still use a lot of my matter of being sensible and getting people perhaps one of the most extreme changes nursing skills.” in for a price that enables you to move you can make as a nurse. I soon saw that the Braeburn Lodge provides nursing, forward as a home. focus was on enabling people to live their dementia, elderly/frail nursing and “I think my management style is very lives to their best ability and not on problem residential care for up to 60 residents. I put relaxed – very involved and very sociable – solving and nursing people from severe it to Jack that while his nurse training and if you look after your staff and create an accidents or illnesses back to a level of experience undoubtedly stood him well in environment where they are comfortable, health where they could be cared for on a terms of care delivery and supervision, did they are going to be more motivated and general ward.” he feel he was well supported in other give the best possible care to our residents. “Of course you have to check that this is indeed the case; you can’t just be nice to Braeburn Lodge everyone and hope it all goes right – you do manager Jack have to check every aspect of care on a Titterton reviews a daily basis. But if you look after your staff, staff file with care worker Zara Cooke. and they really feel supported and are part of the team, they will do the best they can. I 14 enjoy going around the home each day, talking to the residents and getting feedback.”

Recruitment and retention Jack told me that there had been a fair amount of staff turnover before he became manager, but was proud that there are currently no vacancies at Braeburn Lodge. “Even with no vacancies, we still receive enquiries from people wanting to join our team and that’s because word of mouth

® Continued on next page 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 15

January 2019 management www.careinfo.org

® From previous page ‘Overall GOOD’ by the Care Quality team to really provide person-centred care. Commission and have a clear plan in place “We all have badges now which say does so much for a home; if staff, residents to reach outstanding; we have full ‘Team Braeburn’ – it’s something I and relatives shout about how good the occupancy and most importantly we don’t introduced to help bring everyone together. environment is, you will have no problem use any agency staff. We used agency staff It’s a camaraderie sort of thing so whether getting staff and keeping them,” he said. for a couple of weeks when I first started in it’s a good day or a challenging day, “We actively promote our Refer a Friend my role, but it’s great to no longer need someone always says ‘Come on, we’re Team scheme, which gives any permanent member agency staff. It’s fantastic to see the Braeburn’ and it gives people the of the team up to a £500 bonus if they relationships develop between our confidence to pull together and get going recommend a friend for interview and their residents and regular staff, enabling the for all the residents.” friend goes on to join our team. In the time I’ve been here I’ve had five members of staff join the team in this way. I like to be involved in the job interviews because it gives me a sense of who that person really is. I like to try and find out, not just what they have done previously, but how they would approach any problems. Care is a hard sector to work in and there’s never a day goes by that’s Jobseekers: easier to find the role you want really smooth, so I’ve got to be sure that the BRAND NEW candidate is someone who has a positive Employers: easier to find the RIGHT fit for WEBSITE FOR attitude, who can take on a challenge and your organisation, at lower cost THE CARE AND won’t shy away when the going gets tough. DEMENTIA SECTOR! “I’m proud of all my team and what we job postings • community • career advice • blogs have achieved; we have been rated as

FOR ALL WHO WORK WITH PEOPLE LIVING WITH DEMENTIA JDC member subscriber packages FROM ONLY £34! GOLD MEMBERSHIP INCLUDES: • Printed bi-monthly editions of JDC by post BRONZE MEMBERSHIP EXCLUSIVELY ONLINE • Access to the latest edition of JDC online 15 FROM £34.00 + VAT PER YEAR • 15% discount on conferences and books SILVER MEMBERSHIP • Free access to all JDC back issues online PRINTED & DIGITAL EDITIONS FROM £71.00 PER YEAR • JDC editor’s weekly E-Newsletter

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January 2019 management www.careinfo.org

JENNY KARTUPELIS, co-author of a new of a new book becoming known and learning about others demands time, and in particular, time from exploring care based on relationships, says it is important for and continuity of carers. Staff can then in turn elderly people and care home staff to form mutual bonds. feel supported, not only be being empowered through training and time allocation, but also by the older people with whom they form mutual bonds. The environment of the home must enable Creating a sense relationships to form and also give the choice between privacy and company. Among the many and complex factors raised by the survey, which appear as a of belonging checklist in the book, are: size of the home, catering that recreates family here is no doubt that the concept of What are the critical meals as well as providing good ‘person-centred’ care represents an factors that enable such nutrition, multiple smaller communal important advance on previous interaction in practice? areas, seating arrangements, personal approaches to the care of elderly When older people are artefacts and informal décor (avoiding Tpeople, in that it tackles head-on the idea asked what matters the appearance of a hotel or hospital), (should it linger) that individuals can be more most to them the personal space, gardens and easily managed if treated as a fairly answer is frequently summerhouses. homogenous group with similar needs. The ‘security’. This does I believe that the idea of relational care introduction of ‘relationship-centred’ care (or not mean just can and should be distinguished from that relational care) as a new and separate concept physical safety (although this is very of person-centred care. The latter could understandably be greeted with some important), but also the security and peace of represents a focus on the individual and is a cynicism: is this another way of trying to mind that comes with being part of a real considerable advance on commoditising differentiate an existing offering that is home, with being a unique individual who is people as a ‘recipient group’. It enables each becoming a little worn? valued as a member of the group, who can person to be seen as unique in terms of needs, By sharing the key findings of an extensive give and receive care and find meaning in life. family, history and preferences, and is survey, described in detail in Developing a designed to ensure (within reason) that these Relational Model of Care for Older People: A new phase of belonging needs and preferences are met. In theory, it Creating environments for shared living The key practical issues are: giving time; can also enable an organisational (Woodward & Kartupelis, 2018, Jessica providing the right environment; supporting understanding of the person that can be Kingsley Publishers), I hope to highlight the management and staff to form and sustain shared by management and staff to enable a meaningful differences and why they matter relationships. When an older person moves greater degree of sensitivity in interactions, in everyday life. The study was into a care home, planned or not, they have and therefore (probably) better relationships. commissioned by the Abbeyfield Society, one an opportunity to start a new phase of However, a focus on and nurturing of of the UK’s oldest and leading not-for-profit belonging, but if they are already very frail, or relationships is very different. There still providers of elderly care, and was afraid or distressed, then this opportunity can needs to be an immediate recording of facts distinguished by the decision to explore the be lost and the move may even represent a when an older person enters a home: medical responses and hence wellbeing of everyone in personal disaster. history, allergies, food preferences, family the community of the home, rather than to Transition is easier if it happens before it is contacts and so on. But other matters that focus on the residents alone. More than a absolutely essential; as several people said to make the person a unique individual should 16 hundred people were interviewed, in a me, they wished they had decided to leave be allowed to emerge as trust builds between variety of geographical locations and their own home sooner, where they had often them, carers, management and volunteers. different settings, from supported housing to been lonely and subject to rushed care There should be an element of life care homes. sessions; having settled into a new ‘family’ enhancement for all involved. This demands The headline finding was the way in which they had no desire to go back. Creating continuity, time, regular conversation over relationships crucially affect the mental, ‘belonging’ will be much more successful if meals and in quiet spaces and most emotional and physical wellbeing of the person can be enabled to remain part of importantly a two-way flow of shared residents, staff and managers. At their best, their local community, in close contact with experience. In fact, the same process that these have much in common with family relatives and old friends. This process of builds friendships or families. relationships – by no means perfect or always harmonious, but based on knowing and being n A 10% discount is available to Caring Times readers by visiting: www.jkp.com/uk/developing-a- known, on trust, and on mutual involvement relational-model-of-care-for-older-people-1.html and using the online discount code MCP19. in the common enterprise of living together. 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 17

January 2019 promotion www.careinfo.org Miele sits at the heart of Pilgrims View’s new and improved laundry facility

Maintaining a clean and hygienic environment isn’t just a vital part of Pilgrims View’s infection control management procedures; it also plays a significant role in helping the care home remain a welcoming and pleasant environment for residents to live. High standards of hygiene are applied to all areas of the care home’s operations, and this includes its laundry facility. However, the layout of Pilgrims View’s laundry was making it difficult for the home to meet its own high standards. It was also a challenge to maintain the appliances as access to the backs of the machines was restricted. This was a problem due to the machines being aged and no longer running efficiently. The appliances had also become noisy and produced vibrations that spread to other areas of the home. Areas close to the laundry facility would often get disturbed when machines were in use. Avante Care and Support, which operates Pilgrims View, recognised the care home’s need for a whole new approach to its laundry. This meant assigning budget to renovate the current laundry facility and create a brand new facility that would make infection control procedures easier for staff to follow. It was essential for the facility and its machines to meet the Department of Health’s ‘Health Technical Memorandum 01-04 (HTM 01-04)’, which gives guidance on the legal requirements, design applications, maintenance and building and utilise other areas to form a new laundry longer a concern for Avante Care and Support’s operation of water supplies, storage and distribution room. As well as forming better maintenance access, managers thanks to the newly refurbished laundry systems in all types of healthcare premises. builders created a new walkway into the laundry room. facility that makes compliance easy for staff. The The new laundry facility was an opportune time for This enabled a barrier washing system that allowed room’s new layout makes it impossible for soiled items Pilgrims View to install new machines and having seen soiled items to enter through one area and clean items to contaminate clean items now that they enter and Miele machines wash items to high standards at to be returned to residents via a different route. exit the facility through independent doors and exits. Avante Care and Support’s other homes, the Local Miele partner, First Choice Marshalls, had Miele washing machines are built to last and Pilgrims business’ maintenance officer chose the same brand installed Miele machines at its other homes, and Avante View has the reassurance that the laundry can operate for the new laundry facility. The company arranged Care and Support knew that the supplier could be without interruption for the foreseeable future. And, if with contractors to re-configure part of the existing trusted to select the right equipment for Pilgrims View. there are any issues First Choice Marshalls is on hand Not only did First Choice to visit the home and carry out repairs within 24 hours. Marshalls install two Miele The new machines also keep noise and vibrations to a PW811 Performance Plus minimum, and now residents are no longer disturbed washing machines, it during the day or night by noisy appliances. 17 worked with the team at Julian Oliver, maintenance officer at Avante Care Pilgrims View to establish and Support, says: “Changing the physical how the equipment should infrastructure of our laundry room was a big step for be laid out in the laundry to us. But we needed to make a bold move so that support infection control managing infection control became easier and second procedures. One sugg- nature for laundry staff. Operating laundry daily, we estion was the inclusion of can’t go without efficient laundry washing facilities, a door behind machines which is why installing reliable and durable machines to make them easy to that could be repaired with little fuss was a priority for access when cleaning, us. Having seen the difference that Miele and First servicing and repair work Choice Marshalls made at our homes, we were keen needs to be carried out. for Pilgrims View to experience the same results.” Falling short of hygiene and cleanliness is no www.miele-professional.co.uk 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 18

January 2019 management www.careinfo.org

are home managers are being offered free support to help reduce staff sickness levels related to stress brought on by the complex Cdemands of the UK’s growing number of dementia patients. In her latest book, Tracy Gough, a registered nurse, life coach, therapist and author from Stoke on Trent, raises concerns surrounding the mental well-being of care home staff who look after dementia patients. The book, ‘My Dementia Journey - one step at a time’ addresses the day- to-day emotional and physical challenges experienced by caregivers looking after their loved ones at home but Tracy, who has more than 30 years’ experience in the care sector, feels there is an urgent need for this support Guide helps care home staff cope with complex demands of

to be extended to care home staff who are also dealing with similar difficulties on a daily people with dementia basis. Tracy, who still works within a care home “On top of this care home staff also have maintaining the quality of care within care setting and also runs a counselling service for to support and advise relatives,” said Tracy. homes across the country,” said Tracy. caregivers, said: “With more and more care “It’s not surprising that some employees “To do this staff need to be well managed, home residents suffering with dementia there will end up going off sick with stress and receive adequate and appropriate training, are widespread concerns about the impact of exhaustion related to the demands of their sufficient rest days and not exceed too many this situation on the well-being of care home job. It’s often easier and pays just the same to working hours per week. They should feel staff. work on a factory floor or in a shop. If care supported by their manager and colleagues, “Many employees in the care sector are homes in the UK are to continue to provide take regular breaks and management teams finding that the complex nature of dementia vital care to the growing number of dementia must ensure appropriate staffing levels to residents is regularly causing them to feel patients then staff need to feel supported by cope with the demands and dependencies of more stressed, anxious and exhausted. senior members of their team and this is why residents. “Often care staff will work 12 hour shifts I’m trying to make a difference.” “There must also be scope to rotate staff and this can leave them both physically and Tracy has launched a new information regularly with residents that are very mentally drained at the end of their working guide called ‘The Wellbeing and Support complex and challenging in behaviour. It’s 18 day.” Guide for Care Staff’ to provide care home also important that managers restrict the Tracy identifies some daily sources of stress managers with relevant tools to help them amount of hours staff do over long periods as including receiving physical and verbal deliver additional support to staff. of time as this can cause exhaustion and abuse; hearing constant shouting out and The guide, which is being provided free of burnout.” repetition; residents arguing and fighting charge, contains detailed information on Tracy, who set up her business ‘Make Way with one another; challenges relating to staff wellbeing, mindset, coping strategies, for Tomorrow’ earlier this year to provide malnutrition particularly when patients relaxation techniques and advice to one-to-one support to caregivers with the refuse to eat or drink; refusal of medication; managers on ways they can support staff. aim of reducing mental health issues such as problems relating to incontinence and end “Safeguarding the mental wellbeing of depression and anxiety, hopes care home stage/terminal care. care home staff is absolutely fundamental to managers will take advantage of her free information guide. She is also able to provide one to one n For further information and to receive a copy of ‘The Wellbeing and Support Guide for Care Staff’ mentoring with care home managers should care home managers can email Tracy at [email protected]. they require it. 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 19

January 2019 reminiscence www.careinfo.org

‘Sparkling Times’ focuses on the individual resident

any people who work in themselves become very quickly care homes will be engaged with the material, are Mfamiliar with the Daily attracted to read the columns about Sparkle, a reminiscence newspaper their personal interests, and specially developed to provide generally have a self-esteem boost daily stimulation, interest, seeing a newspaper which is written enjoyment and fun for older people all about them. and people living with dementia. “For the staff the paper provides In November, the Daily Sparkle information about the person in a won the Social Impact award very accessible, digestible and which is part of the Lloyds Bank occupation, something they are proud of, attractive form, compared to formal National Business Awards, with the awards four personal interests and, if possible, two care plans. Also, they immediately know finalists representing businesses worth more photos of the person. which subjects of conversation are going to than £20bn. The Daily Sparkle’s managing “From this we make up a personal life be of interest to the person – they have director and founder Chris Harding has history, following their life through social articles about those interests immediately to now launched the Sparkling Times, a history events and then feature their four hand which they can read or use to generate personalised reminiscence newspaper made personal interests as columns on the inside conversation. for particular individuals. pages,” said Chris. The care home provides a few details “Having made more than 50 samples I For more information email: about the person – their name and what they which we’ve shown to the subjects and care [email protected] or prefer to be called, birth date, lifetime staff we have seen that the subjects Tel: 07595 351904

19 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 20

January 2019 legal landscape www.careinfo.org Legionella: prevention is better

than cure Lester Aldridge Solicitors partner LAURA GUNTRIP highlights two recent n the past year we have seen two high cases where care providers have been profile cases of substantial fines being Ibrought against care home providers held accountable for failing to prevent who have failed in their duty to protect Legionella growth in their water systems. vulnerable patients against the risks of Legionnaires’ disease. In June 2018 Bupa Care Homes Ltd was [email protected] fined £3m following the death of 86-year-old Kenneth Ibbetson after he contracted the fatal 01202 786161 disease at Hutton Village care home in Brentwood. More recently, Alliance Care (Dales Homes) Ltd (part of Four Seasons The HSE requirements are based on the boiler was not producing water at the Health Care) was ordered to pay £600,000 Health and Safety at Work Act 1974 and the necessary temperature to enable it to kill the after failing to protect 90-year-old John Bonser Control of Substances Hazardous to Health bacteria, but instead the conditions enabled from the high levels of bacteria identified in Regulations 2002. As such, failure to meet the bacteria to grow. The prosecution the water system at Kestrel Lodge. The court these requirements could mean that the identified that, although an outside company heard that Alliance Care had exposed both offending care provider may be liable to pay had been providing services to the home, no residents and employees in the home to very an unlimited fine, face a sentence of up to checks had been carried out by the care poor standards of care which ultimately led to two years’ imprisonment (if an individual) provider of the company’s experience and the death of Mr Bonser. and, in some circumstances, a corporate management skills. It was found that the Legionnaires’ disease is the term used to manslaughter charge. handyman was using an inappropriate describe diseases caused by the Legionella thermometer to check the bacteria. The disease is a potentially fatal surface temperature of pipes. form of pneumonia and presents a risk of Outbreaks of The court also found that no infection to everyone. However, the risk of Legionnaires’ members of staff were given contracting Legionnaires’ increases with age normally occur training in respect of the risk of and those that suffer with chronic respiratory when small Legionnaires’ disease or how to or kidney disease, diabetes, lung and heart water droplets prevent it. disease or anyone with an impaired immune Following Mr Bonser’s death system are particularly vulnerable to the containing the the company co-operated fully illness. Outbreaks of Legionnaires’ normally bacteria are with prosecution authorities occur when small water droplets containing subsequently and had spent in the region of the bacteria are suspended in the air and inhaled. £240,000 to rectify the issues. In subsequently inhaled. addition to the fine which the company subsequently 20 Water systems checks Care providers must ensure there are received, and the legal costs it would have Care home providers are required to ensure suitable systems in place to protect residents incurred, it would appear that prevention that there is adequate quality checking and employees against the risk of Legionella. would have been much better (and cheaper) systems in place to manage risks and assure It is important to ensure that a competent than cure. the health, welfare and safety of people who person undertakes the relevant assessments If care providers are in any doubt as to receive care. A failure to do so could result in and any testing of the water system. their legal obligations in respect of the enforcement action by CQC for a breach of Worryingly, in Alliance Care’s case an management of the risk of Legionnaires’ Regulation 12 (safe care and treatment) of outside company had been providing water disease they should seek advice from The Health and Social Care Act 2008 management services to the care home. The competent professionals. In the event (Regulated Activities) 2014. presence of Legionella had not been identified providers find themselves facing In addition, the Health and Safety until after Mr Bonser died as a result of enforcement action following shortfalls Executive (HSE) sets out its requirements in Legionella pneumonia and congestive heart identified in the management of Legionella, it its Codes of Practice “Legionnaires’ Disease: the failure, contributed to by chronic obstructive is important they seek legal advice at the Control of Legionella Bacteria in Water Systems”. pulmonary disease. They also found that the earliest opportunity . 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 21

Who’s it for? Anyone who cares for or interacts with people living with dementia as part of their job: Managers, SRN’s, HCA’s, Activities co-ordinators and more!

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• Spend less on advertising jobs • More quality and informed candidates = lower staff turnover • A website and team that works with employers • A community for professionals to share their views and advice on care and dementia

BRAND NEW Visit www.dementiajobs.org WEBSITE FOR THE CARE AND Email us at [email protected] DEMENTIA SECTOR! Follow us on Twitter @dementiajobs 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 22

January 2019 news www.careinfo.org

CPA suggests seven shining virtues for adoption by private care providers

The Care Provider Alliance (CPA), made that talking to individual providers said the independent and voluntary positive or negative way. They should be up of several care provider would create conflicts of interest. adult social care sector was ready to willing to withdraw from a discussion if a organisations, has published new The CPA says its “Seven principles work more closely and strategically with direct and formal conflict of interest guidance to support strategic for the engagement of individual local authorities and the NHS. should arise. engagement between local authorities, providers on behalf of the wider “The adoption of these principles by Objectivity: ASC provider rep - the NHS and the independent and independent and voluntary adult social care providers should reassure our resentatives must act and put forward voluntary adult social care sector. care sector” will help all parties statutory sector colleagues that there is views fairly and on merit, using the best Residential and nursing homes care overcome that concern. Based closely nothing to stop them working with the available evidence and without for 460,000 people, many of whom on the widely recognised “Seven sector, and if people are to receive care discrimination or bias. have multiple complex health needs; Principles of Public Life”, they suggest that is properly joined up, it is essential Accountability: ASC provider rep- and more than half a million more how adult social care providers should that this should happen in every local resentatives are accountable to the people rely on social care in their own approach any situation in which they area,” said Ms Warr. “We would wider sector for their actions and for homes. But when the big strategic are acting as a representative of the encourage adult social care providers to the representations they make. They issues are being discussed locally, this wider sector. adopt these principles which we hope will should be willing to explain their views large and vital sector is rarely at the Bridget Warr, chair of the Care help overcome any reluctance to engage and representations if reasonably table; and one reason can be concern Provider Alliance’s Programme Board, by their statutory sector colleagues. asked to do so. “The principles have been developed Openness: ASC provider rep - OUTSTANDING as part of a programme of work funded resentatives should act and make by the Department of Health and Social representations in an open and Care. I am delighted that the principles Congratulations to the following care homes and services which have been recently transparent manner. They should be are also supported by the Local rated as ‘Outstanding’ by the Care Quality Commission: clear about whether they are expressing Government Association (LGA) and the a personal view, or one that has come I I Eachstep Blackburn, a 61-bed Hersham Gardens, a learning Association of Directors of Adult Social from a more formal representative care home with nursing in Blackburn, diasabilities care home in Walton-on- Services (ADASS).” process. They should expect that, Lancashire, operated by Community Thames, providing services to up to 7 The seven principles are: unless there is a specific reason for a Integrated Care. people with learning disabilities Selflessness: Provider representatives matter to be confidential, any actions Manager: Phil Benson. and/or autism in a ‘supported living’ should act solely in the interests of the they take or representations they make wider sector and of the people environment. may be shared with the wider sector. I Pennington Court, a 62-bed care supported by adult social care services. They should seek ways to report back Manager: Daniel Ashley Ismael. Integrity: ASC provider representatives home with nursing in , to the wider sector. should not act, or put forward views, or Yorkshire, operated by Westward I Restormel House, a six-bed care Honesty: ASC provider representa- use information they see in their role as a tives should be truthful. Care. Manager: Angela Randle. home in Plymouth, Devon, representative, in order to gain financial Leadership: ASC provider representa- accommodating and supporting or business benefits for themselves or I Birch Hill Care Centre, a 26-bed adults with learning disabilities, their company, or for related individuals tives should exhibit these principles in care home in Norham, Berwick-upon- mental health issues and other or companies. They must declare any their own behaviour. They should ac- tively promote and robustly support the Tweed, Northumberland, operated by complex needs, including autism and interests and relationships, for example if principles and be willing to challenge Motor and Allied Trades Benevolent Asperger’s, operated by Regard. a discussion about future services could affect their business or organisation in a poor behaviour wherever it occurs. Fund. Manager: Nicola Hall. Manager: Carle Dearing. 22 I Dawson Lodge, a 43-bed care I Brandon Park, a 55-bed nursing home in Southampton, Hamshire, home in Brandon, Suffolk, has been operated by Anchor. rated outstanding by CQC for the

Manager: Mitchelle Perry. I second time. Operated by FERUARY National Dementia Care Awards Stowhealthcare. DATE: November 7 I Tenlands, a 39-bed care home I National Care Awards Winners Lunch VENUE: Doncaster Racecourse Manager Sam Gallagher. with nursing in Ferryhill, County DATE: February 21 I National Care Awards VENUE: Coutts, London Durham, operated by HC-One. DATE: November 29 VENUE: Hilton London Metropole Manager: Victoria Leighton. Rated ‘Outstanding’? NOVEMBER For further information on all these events, I or to book a conference place, telephone I Bluebird Care (South UK Dementia Congress let us help spread DATE: November 5-7 the Events Team on Gloucestershire), a homecare the word, email: VENUE: Doncaster Racecourse 020 7720 2109 provider in South Gloucestershire. [email protected] Alternatively, email [email protected] Director: Jack Whitfield. or visit www.careinfo.org/events to download a booking form. 12-23CT0119gh.qxp_Layout 1 07/12/2018 14:44 Page 23

January 2019 diary/moving around www.careinfo.org

in association with MyLife Cambridge, a homecare and companionship Appointments provider, has appointed a new manager to enhance and expand its breadth of services, recruit a fresh wave of Care South, a provider of residential and homecare compassionate care assistants and grow the business by services across the south of england, has appointed attracting new clients living in the city and beyond. Simon Bird as the charity’s new chief executive. Karen Nash, who lives in Hemingford Abbots, is a care Simon, who has been with Care South, since 2011– professional with more than two decades of experience in most recently in the role of deputy chief executive – takes the industry. Most recently she was a senior manager at over from outgoing chief executive Susan Willoughby another major homecare provider, where she spent six who has retired. years, but has also held positions at various care companies and nursing agencies. A qualified Chartered Surveyor, formerly with specialist She has a wealth of qualifications to her name, including a Diploma in business valuers and consultants Pinders, Simon originally Management and NVQ Level 4, Health and Social Care. Her long experience will joined Care South as property & marketing director, bringing stand her in good stead in her new role. with him a wealth of property experience and has proved invaluable in the years of development of the company. Hartford Care has appointed Ellen Cattell as a peripatetic manager, a new role for the group, covering all 14 its care Scottish care home operator Renaissance Care has made homes across the South of england. two new senior management appointments. ellen will perform the roaming role of a home manager, Louise Barnett (right) becomes managing director taking the responsibility for the co-ordination and day-to-day and Yvonne MacKenzie (below) becomes operations running of homes in the absence of the manager, and director (a new post), both joining Renaissance Care from working alongside existing managers to provide additional Balhousie Care. Louise won the UK Operations Manager of support, contributing towards the achievement of the the Year title at the most recent Hartford Care Vision across each of the homes. National Care Awards in November ellen has 10 years of extensive experience in the care sector across a variety of 2017. roles, mainly based in Poole and Dorset including managing an assisted living Renaissance Care currently operates 14 care homes facility. Other roles also include highly successful and proactive activity programmes throughout Scotland with close to 700 beds and employs to stimulate the mental, physical and emotional senses of residents. almost 1,000 staff. The company was founded in 2004 by Robert Kilgour, the executive chairman, who also founded Four Seasons Hull-based Hica Group has appointed a new manager for its Health Care in 1988. Raleigh Court care home in the city. Melanie Ward will manage the day-to-day running of the 54-bedroomed home, oversee the health and wellbeing of New Care, a development-led care home operator, has residents and provide support for full and part time care promoted Dawn Collett, a former registered nurse, to the workers. role of commissioning director. In recognition of her Melanie, who has plans to develop Raleigh Court as the achievements Dawn, who has worked for the company for leading dementia care provider in central Hull, brings more more six years, has also been appointed to the board. than 30 years’ experience to the position, and has previously Since joining New Care in 2012, Dawn has owned and operated two small care homes for older adults living with dementia. forged formidable relationships with industry bodies, such Her responsibilities will include staff training and development and remaining as local NHS Trusts, stakeholders as well as residents and abreast of current and future legislative requirements. their relatives. In her new role Dawn will continue to build these invaluable relationships, helping and guiding individuals when they are vulnerable, emotive and often at a loss as to SeMINARS CONFeReNCeS AND exHIBITIONS what to do. She is also tasked with imparting her knowledge regarding funding for elderly, using her expertise to support and advise those looking for a care home. MARCH 2019 MAY 2019

With five ‘new generation’ care facilities fully operational currently across the I Future of Care Conference I Social Care Conference: Excellence 23 North West and Midlands, plus a sixth care home in Formby scheduled to open DATE: March 19 early 2019 and a further four in Cheshire to follow suit, Dawn’s experience plays an VENUE: The King’s Fund, 11 Cavendish through investment & innovation integral part in New Care’s ambitious growth plans. Square, London, W1G 0AN DATE: May 15 ORGANISER: Care Roadshows/Broadway VENUE: etc. venues Victoria, London events Hull-based Hica Group has appointed Adam Ward as a TEL: 01425 838393 ORGANISER: LaingBuisson new senior home manager. E: [email protected] E: [email protected] Currently the registered manager at elm Tree Court, a specialist dementia home, Adam now takes on an additional role as senior homes manager. Within his new role, Adam, who has more than 12 years of experience in managerial roles and over six years in the care industry, will act as a main point of contact for a number of Hull based Hica Group homes. This includes Raleigh Court, Wilton Lodge, Overton House and Albemarle. He will also facilitate best practice among them. 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:47 Page 24

FRIDAY 30 NOVEMBER 2018 HILTON LONDON METROPOLE MEET THE WINNERS!

#CareAwards

The National Care Awards Gala Presentation Night was held on 30 November 2018 and was the biggest yet. The Awards, now celebrating their 20th anniversary, continue to highlight excellence at all levels and parts of the care home sector and reward those who work tirelessly to provide consistently outstanding care. 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:48 Page 25

The National Care Awards celebrates its 20th birthday in style

The fabulous Gala Evening was sponsored by Christie & Co who have been sponsors for 20 consecutive years, and held at the prestigious Hilton London Metropole Hotel, the same venue for those 20 years. Richard Lunn, Christie’s Managing Director for Care, welcomed the guests and reminisced about some of the highlights over those years and how much he enjoyed being involved with the Awards. The evening’s entertainment opened with Jon Culshaw, widely regarded by many as Britain’s best impressionist with a catalogue of over 350 impersonations and voices, and is a celebrity ambassador for Marie Curie. The comedian and impersonator then went on to reveal the winners of the 20th National Care Awards. The evening closed with a finalists’ raffle to win a spa weekend courtesy of the Evolve Care Group which was won by Carl Weston of TLC Care. Followed by a game of Heads or Tails, there were thousands of pounds raised for The Care Workers Charity which helps carers who have fallen on hard times through no fault of their own. The celebrations then continued with entertainment sponsored by Pinders including music from the well-known band Sink the Beat who entertained the guests until the early hours! The photo booth made another appearance this year thanks to sponsors Compass Associates and was a huge success with queues of elaborately costumed people out the door! The reputation of the National Care Awards as the longest established and most entertaining Care Awards by a significant margin was enhanced again. Its vigorous and personalised judging process, along with its glamour, make it the Awards most people want to win. Look out for the start of next year’s National Care Awards when nominations open in the spring. Thanks to our amazing sponsors

category sponsors

finalists’ prize sponsor winners’ lunch partner programme sponsor main sponsor entertainment sponsor photobooth sponsor drinks reception sponsor

For future sponsorship opportunities contact [email protected] Join us for the 21st National Care Awards in November 2019 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:49 Page 26

NATIONAL CARE AWARDS MEET THE WINNERS 2018 Carer Care Registered Nurse Care Team

June Thomas Laura Smith Sefton Hall Residential & Nursing Home, Tudor Lodge, Pearl Healthcare Hamilton House, brighterkind Southern Healthcare The Dignity & Respect Care Chef Care Home of the Year Care Home of the Year

Steven Harding Green Tree Court Northview Lodge Dormy House, Caring Homes Lexicon Healthcare HC-One Learning Disability Dementia Care Care Home Manager Service Manager Manager

Kellie Moore Jill Cowdry, The Grange Care Home, Susannah Barker-Milan, Eccleshare Kesteven Grange, HC-One Consensus Community Support Ltd Court, Country Court Care Homes Ltd 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:50 Page 27

Care Apprentice Care Home Champion Care Leadership

Heather Marchant Kirsty Sudlow Yvonne Manson Bluebirds Nursing Home, PJ Care Arrowe Hall, The Regard Group Earn House, Balhousie Care Group Care Operations Care Activities Manager Coordinator / Facilitator Care Housekeeper

Debbie South Raquel Pena Aristizabal, Elaine Norman Hallmark Care Homes The Royal Star & Garter Homes Surbiton Hungerford Care Home, brighterkind Care Home Group Lifetime Achievement Care Personality

HC-One Carol Smith (Accepted by Alina Pa’un) Farouq Sheikh Cooperscroft Care Home, TLC Care Care Tech Holdings PLC 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:50 Page 28

CELEBRATIONS AT THE AWARDS 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:50 Page 29

#CareAwards 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:50 Page 30

Brown, Aneurin - Hallmark Care Homes Dolby, Alicia - Stow Healthcare & Garter Homes Brown, Ellen - Apetito Doson, Amy - Hallmark Care Homes Griffiths, Samantha - Audley Care GUEST LIST Burgers, Sarah - Elizabeth Finn Care Homes Downer, Diane - Avery Healthcare Griffiths, Pete - Compass Associates Burgers, Mattheus - Elizabeth Finn Draffin, Amelia - Apetito Groombridge, Kevin - Healthcare Care Homes Adams, Lynne - Caring Homes Group Duffey, Claire - Pinders Management Solutions Burke, Michael - Hallmark Care Homes Addison, Alastair - Nightingale Hammerson Dukes, Wayne - OM Interactive Grose, Peter - Lester Aldridge Burt, Julie - Elizabeth Finn Care Homes Agarwal, Mala - Athena Care Homes (UK) Ltd Dumitru, Anca - Healthcare Homes Group Grose, Marcia - Lester Aldridge Butterworth, Stephen - HC-One Ahmed, Alexandra - Quantum Care Ltd Duncan, Graham - Apetito Guyll, Gareth - Compass Associates Button, Sarah - Shaw Healthcare Ahmed, Cemal - Quantum Care Ltd Durband, Kate - The Regard Group Hale, Jordan - The Regard Group Group Limited Aitchison, Mark - Colten Care Dutton, Carl - Compass Associates Hall, Emily - Nightingale Hammerson Buurchell, Joanne - Barchester Healthcare Aitchison, Kerry - Colten Care Eaton, Diane - The Regard Group Hamblin, Matt - Oomph! Wellness Ltd Byrom, Rob - Hallmark Care Homes Akbar, Shokat - Caretech Holdings PLC Edmond, Carole - The Regard Group Hamilton, Liz - Healthcare Management Cafane, Angie - Nightingale Hammerson Alexander, Sally - Cotswold Supported Living Edmondson, Helen - Purchasing Support Solutions Callaghan, Mary - Pearl Healthcare, Alexander, Andrew - Cotswold Supported Services Hammond, Joan - Shaw Healthcare Tudor Lodge Living Edmondson, John - Purchasing Support Hammond, Jon - Domus Recruitment Callum, Tina - Community Integrated Care Alflatt, John - Apetito Services Hancock, David - Redwoods Dowling Kerr Calverley, Pete - Barchester Healthcare Alison, Jo - Healthcare Homes Group Edwards, Emily - Carter Schwartz Hanzra, Inder - Hallmark Care Homes Canavan, Shaun - Porthaven Care Allen, James - Caring Homes Group Edwards, Paul - Dementia UK Harding, Debbie - Signature Senior Lifestyle Homes Group Allen, Ben - Oomph! Wellness Ltd Edwards, Geoff - Care UK Harding, Steven - Caring Homes Group Cannon, Fionna - Audley Care Alquiroz, Alice - Barchester Healthcare Elbanna, Omar - Cotswold Supported Living Hardy, Amanda - TLC Care Careless, Ilze - Healthcare Management Anyabuike, Agi - Gracewell of Camberley Elliot, Margaret - Caring Homes Group Harman, Jessica - Caring Times Solutions Appleby, Loudon - OM Interactive Elliott, Joanne - Avery Healthcare Harrington, Cathy - Barchester Healthcare Carroll, Tim - Coutts Arkinstall, Andrew - Colten Care Ellis, Clarissa - Porthaven Care Homes Group Harris, Sian - Evolve Care Group Carter, Adam - Carter Schwartz Ashby, Tanya - Audley Care Ellmers, Theresa - Caring Times Hartle, Chris - Ontex Healthcare Carter, Leanne - Sanctuary Care Ashworth, Maureen - Porthaven Care Ellmers, Leo - Caring Times Harwood, Russell - OM Interactive Carter, Anja - Carter Schwartz Homes Group Elsigood, Tim - Carter Schwartz Hassan, Mehmet - Coutts Carter, Hannah - brighterkind Atwal, Joga - Coutts English-Williams, Rebecca - brighterkind Hawes, Richard - Elizabeth Finn Care Homes Cashmore, Jeremy - Christie & Co Aust, Emma - brighterkind Evans, Mike - Coutts Hawes, Tracy - Elizabeth Finn Care Homes Castillo, Melany - Caring Homes Group Ayris, Ann - Ebury Court Care Home Fairhurst, Sharon - Making Space Hawkins, Richard - Caring Times Catenscu, George - Healthcare Badrick, Lorna - TLC Care Farnes, Peter - CBRE Limited Hawkins, Kit - dementiajobs.org Homes Group Baggott, Val - Elizabeth Finn Care Homes Farrer, Julian - Colten Care Hawkins, Lois - Caring Times Chapman, Jon - Pinders Baird, Cheryl - Four Seasons Health Care Farrer, Elaine - Colten Care Hazlewood, Alison - Barchester Healthcare Charlesworth, Alison - Stow Healthcare Baker, Lorna - Orchard Management Farrow, Jaimie - The Partnership in Care Hazlewood, Mark - Barchester Healthcare Charlton, Emma - HC-One Services Fatibiene, Peter - The Partnership in Care Henderson-Southerby, Audrey - Porthaven Cheekoory, Sam - Gold Care Homes Balacai, Bella - brighterkind Fay, Jennifer - Pinders Care Homes Group Cheng Cheng, Cristina - dementiajobs.org Balcombe, Lucille - 48 Consulting Fazackerley, Sam - Redwoods Dowling Kerr Heppell, Paul - Lifetime Training Chopra, Amit - Gold Care Homes Baldwin, Laura - Domus Recruitment Fearn, Lynn - Healthcare Management Herbert, Lance - Porthaven Care Claire, Joanne - Domus Recruitment Ball, Maria - Quantum Care Ltd Solutions Homes Group Clare, Moira - The Partnership in Care Ball, Alex - Stow Healthcare Fenwick, Sonya - Signature Senior Lifestyle Hesketh, Jo - Lifetime Training Clark, Sharon - Carter Schwartz Balmer, Ross - Balhousie Care Group Finlay, Stephen - Your Care Rating Heyes, Chrissie - The Royal Star Clinton, Julia - Sonnet Care Homes Balmer, Stuart - Balhousie Care Group and Ipsos MORI & Garter Homes Coady, Frances - Lifetime Training Balmer, Alison - Balhousie Care Group Fletcher Ray, Tracey - Caring Homes Group Heywood, Elecia - Domus Recruitment Cochrane, Gordon - Healthcare Balmer, Kirsty - Balhousie Care Group Florea, Bogdan - Southern Healthcare Hilado, Cristy - Gracewell of Camberley Homes Group Bammens, Jordan - Lexicon Healthcare Foley, Katherine - Healthcare Homes Group Hill, Helen - Athena Care Homes (UK) Ltd Cockar, Wahid - Caretech Holdings PLC Banister-Dudley, Nick - Hallmark Care Foley, Nuala - Apetito Hill, Peter - Caring Homes Group Coe, Will - Orchard Management Services Homes Forsyth, Ian - Elizabeth Finn Care Homes Hiscox, Zoe - Quantum Care Ltd Colborne-Baber, Kate - Oomph! Wellness Ltd Barenskie, David - Lexicon Healthcare Forsyth, Gillian - Elizabeth Finn Care Homes Hodgson, Geoffrey - Caring Times Collier, Sam - The Regard Group Barker, Caroline - Ridouts Forsyth, Megan - Balhousie Care Group Hoggart, Richard - Burlington Care Colwell, John - Colten Care Barker, Kevin - Ridouts Foulger, Jessica - Hallmark Care Homes Hoggart, Richard - Apetito Colwell, George - Colten Care Barker-Milan, Susannah - Country Court Frankum, Maggie - Porthaven Care Holland-Webb, Shital - Sabre Technologies Colwell, Georgina - Colten Care Care Homes Group Hollow, Nathan - HC-One Connell, Clare - Browne Jacobson LLP Barker-Milan, Wayne - Country Court Care Frazer, Samuel - Shaw Healthcare Holmes, Laura - PJ Care Connolly, Lucy - HC-One Bate, Shaun - Porthaven Care Group Limited Holowina, Kate - Porthaven Care Conquest, Anne - Signature Senior Lifestyle Homes Group Freeman, Luke - Romila; Chair Based Homes Group Conway, Rob - Oomph! Wellness Ltd Bayliss, John - Barchester Healthcare Dance For All Hopkinson, Chris - Care UK Cook, James - Innovative Aged Care Beadle, Susan - HC-One French, Ruth - Stow Healthcare Houseman, Victoria - Ontex Healthcare Coombes, Eddie - Optima Care Beecham, David - Caring Homes Group Fudge, Elliot - Christie & Co Hubble, David - Purchasing Support Services Cooper, Suzy - Porthaven Care Beecham, Kay - The Regard Group Gailey, Faye - Avery Healthcare Hugget, John - Porthaven Care Homes Group Bennett, Mark - Hallmark Care Homes Gallagher, Sara - Hallmark Care Homes Homes Group Corbett, Thomas - Lifetime Training Bennett, Tina - Sanctuary Care Gallop, Juliet - Avery Healthcare Hughes, Katy - Care UK Cormack, Derek - Caring Homes Group Bennett, Leah - Sanctuary Care Galloway, Gina - Stow Healthcare Hughes, Suzanne - Shaw Healthcare Corsbie-Smith, Emma - Gold Care Homes Benson, Phil - Community Integrated Care Garing, Von - Porthaven Care Homes Group Hughes, Heather - Lifetime Training Cosgrove, Sean - Lifetime Training Berry, Matthew - Porthaven Care Garton, Laurence - Yorkare Homes Hunt, Maria - Domus Recruitment Coulter, Graham - Pinders Homes Group Gash, Martin - Caring Homes Group Hurley, Stewart - Purchasing Support Cowdry, Jill - Caring Homes Group Berry, Dan - Porthaven Care Homes Group Gaskill, Hannah - Christie & Co Services Cox, Geoffrey - Southern Healthcare Bessey, Natelie - Outlook Care Gauge, Steven - HC-One Hurley, Shaun - Purchasing Support Services Crawford, Emma - Christie & Co Beukes, Pieter - We Care Group Gazeres, Joel - CBRE Limited Hutchens, Justin - HC-One Crewe, Lisa - Orchard Management Beukes, Liza - We Care Group Geraghty, Donna - Four Seasons Hutcheson, Nick - Knights Care Services Bhullar, Jasbinder - Apetito Health Care Hyde, Stephanie - Shaw Healthcare Crocker, John - Evolve Care Group Biggs, Angie - Gracewell of Camberley Germano, Linda - PJ Care Group Limited Croft, Jo - Colten Care Birch, Zoe - The Partnership in Care Gibson, Stuart - Balhousie Care Group Imbrovschi, Peter - Porthaven Care Cullen, Jane - brighterkind Birerley, Barbara - Colten Care Gidlow, Helen - Healthcare Homes Group Homes Group Culshaw, Jon - Host Biris, Izabela - Southern Healthcare Gilard, Debbie - Quantum Care Ltd Irish, Gillian - Colten Care Cundall, Sarah - Lexicon Healthcare Black, Helen - Shaw Healthcare Gilbert, Mark - OM Interactive Ivers, John - Caretech Holdings PLC Cunningham, Amanda - Four Seasons Group Limited Gilding, Anthony - The Regard Group Iyavoo, Dillen - Coutts Health Care Bonney, Maureen - Quantum Care Ltd Gillespie, Angela - Ontex Healthcare Jackson, Andy - Caring Times Curd, Alison - Caring Homes Group Bonney, Claire - Quantum Care Ltd Gillespie, Donald - Ontex Healthcare Jackson, Mandy - Athena Care Homes (UK) Daley, Jacob - Caring Times Boon, Chloe - Audley Care Gineviciute, Gabriele - Caring Times Limited Daley, John - Oomph! Wellness Ltd Boon, Paul - Shaw Healthcare Glazer, Giorgia - Knights Care Jackson, Cleo - Colten Care Dampier, Steve - brighterkind Group Limited Glover, Genevieve - Barchester Healthcare Jacob, Samantha - HC-One Darlow, Karen - Orchard Management Boote, Alison - Healthcare Goff, Stuart - Making Space Jacob, Jaison - Gold Care Homes Services Management Solutions Gooda, Kerry - Healthcare Homes Group Jampil, Ron - Barchester Healthcare Davies, Heidi - Healthcare Management Bracken, Clare - Four Seasons Health Care Gorringe, Michelle - Lexicon Healthcare Jangra, Dalbir - Gold Care Homes Solutions Bradbury, Shona - Care UK Gould, Martin - Christie & Co Jeffery, Paul - Caring Homes Group Davis, Ian - OM Interactive Braga, Girlie - Gracewell of Camberley Gould, Edie - Innovative Aged Care Jeffery, Rob - Caring Homes Group Davis, Jeanne - Apetito Brandrick, Thomas - Domus Recruitment Goyal, Ram - Hallmark Care Homes Jeffreys, Mike - Compass Associates Deasy, Michaela - Carter Schwartz Bravery, Linda - HC-One Goyal, Anita - Hallmark Care Homes Jewitt, Bev - brighterkind Delaney, Lisa - Apetito Brazier, Allan - brighterkind Goyal, Avnish - Hallmark Care Homes Johal, Aaron - Harben Green Human Dermody, Noleen - The Close Care Home Breingan, Tracy - Clydesdale Bank Graczyk, Joanna - TLC Care Capital Dermody, Joe - The Close Care Home Breingan, Derek - Clydesdale Bank Grant, Patrick - Alpha Real Johnson, Irene - Caring Times Dewani, Preyen - Evolve Care Group Brett, Kate - Lifetime Training Green, James - Purchasing Support Services Johnson, Sian - Orchard Management Dhrona, Sanjay - The Close Care Home Britt, Carly - Shaw Healthcare Group Limited Green, Charlotte - Purchasing Support Services Diaper, Rob - Audley Care Brodie, Margaret - Outlook Care Services Johnson, Dan - mcch D'mello, Martin - Apetito Brosnan, Kelly - HSBC Green, Howard - Harben Green Johnson, Karen - HC-One Dodge, Matt - Innovative Aged Care Brown, Sharon - Making Space Human Capital Johnstone, Shonagh - Caring Times Dogan, Sandra - HC-One Brown, Annette - Nightingale Hammerson Green, Julie - Purchasing Support Services Jones, Alisa - Lifetime Training Dolan, James - Domus Recruitment Greenman, Diana - The Royal Star Jones, Jeorgia - Gracewell of Camberley 24-31CT0119awards.qxp_Layout 1 07/12/2018 14:50 Page 31

Jones, Nicola - Caring Times Services Poole, Michelle - brighterkind Soper, Lisa - Avery Healthcare Jothinath, Arun - We Care Group McCaffrey, Sean - Sanctuary Care Pop, Adriana - Southern Healthcare Sorrell, Andrew - Outlook Care Kaye, Marie - Audley Care McCarthy, Ros - Nightingale Hammerson Porter, Alison - Apetito South, Debbie - Hallmark Care Homes Keane, Michael - BKR Consultancy McClennan, Dan - Domus Recruitment Powell, Maggie - OM Interactive Southall, Kirsty - The Regard Group Keane, Cassandra - Avery Healthcare McDonald, Mark - Hallmark Care Homes Power, Angela - Ontex Healthcare Spalding, Julie - Gracewell of Camberley Keane-Rao, Bhavna - BKR Consultancy McElligott, Theresa - Gold Care Homes Prince, Martin - Purchasing Support Services Spurling, Julian - Caretech Holdings PLC Kelly, Susan - Sonnet Care Homes McElligott, Tony - Gold Care Homes Prinja, Akshay - We Care Group Steen, Andrew - Redwoods Dowling Kerr Kemp, Jodie - Compass Associates McFarlane, Janis - Healthcare Management Pritchard, Emma - Colten Care Stein, Tony - Healthcare Management Kenny, Nikki - Lifetime Training Solutions Pritchard, Fiona - Colten Care Solutions Kerr, Dorothy - brighterkind McFarlane, Lisa - Knights Care Proctor, Matthew - Coutts Stein, Jane - Healthcare Management Key, Rodney - Ebury Court Care Home McGarry-Wall, Lorraine - brighterkind Purwaha, Jasmine - Gold Care Homes Solutions Key, Richard - Ebury Court Care Home McGowan, Phill - Colten Care Pymm, Damian - Gold Care Homes Steyn, Philip - Care UK Key, Grace - Ebury Court Care Home McGreevy, Andrew - brighterkind Quays Irby, Mr - Redwoods Dowling Kerr Stock, Linda - Carter Schwartz Keys, Paula - HC-One Medlicott, Michael - Caring Homes Group Rajakumaran, Jalani - We Care Group Strain, Joe - Apetito Kidd, Chris - Elizabeth Finn Care Homes Meeks, Barbara - Ontex Healthcare Ramamurthy, Alex - The Care Workers Strain, Jonathan - Elizabeth Finn Care Homes Kidd, Nyree - Elizabeth Finn Care Homes Merschaus, Anselle - Nightingale Charity Strutt, Emma - Orchard Management Kilgour, Robert - Renaissance Care Hammerson Ranson, Mike - Caring Homes Group Services (Scotland) Ltd Michelin, William - Elizabeth Finn Richards, Emily - Hallmark Care Homes Suresparan, Vathsala - We Care Group King, Charlotte - Care UK Care Homes Richards, Rebecca - Coutts Suresparan, Piriya - We Care Group King, Sam - Porthaven Care Homes Group Miller, Dean - Apetito Richardson, Elaine - Four Seasons Suresparan, Bernie - We Care Group King, Matt - Healthcare Homes Group Miller, Paul - Redwoods Dowling Kerr Health Care Sweetbaum, Barry - Banyan Residential Kingston, Bruce - MHA Mingay, Kelly - The Partnership in Care Riley, Linda - HC-One Care Limited Kitson, Julie - Christie & Co Miyanji, Ashraf - Oomph! Wellness Ltd Ritchie, Jacquie - Four Seasons Health Care Sweetman, Karen - Gold Care Homes Klotz, Mishka - OM Interactive Moncur, Fiona - Barchester Healthcare Roberts-Green, Daniel - Lifetime Training Sweetman, Brenda - TLC Care Knight, Andrew - Care UK Moore, Jo - Sonnet Care Homes Robins, Hannah - Cotswold Supported Living Syed, Fazl - Caretech Holdings PLC Knights, Linda - Knights Care Moore, Michaela - Shaw Healthcare Robinson, Jane - Ontex Healthcare Sylvester, Robert - Colten Care Knights, Peter - Knights Care Group Limited Robinson, Paul - Ontex Healthcare Sylvester, Jacky - Colten Care Knights, Nadia - Knights Care Moore, Kellie - HC-One Robinson-Noel, Tanisha - Audley Care Szabo, Agota - Nightingale Hammerson Knights, Adam - Knights Care Morehead, Lisa - HC-One Rogers, Yasmin - Nightingale Hammerson Tanner, Catherine - brighterkind Koromila, Natalie - Romila; Chair Based Morgan, Gemma - Sonnet Care Homes Rollins, Sharon - Sanctuary Care Tasha Garing, Eurika - Porthaven Care Dance For All Morgan, Tim - Cotswold Supported Living Rosan Short, Desiree - My Life Films Homes Group Kraan, Rachel - Compass Associates Morgan, Eddie - Caring Homes Group Rose, Lorna - Barchester Healthcare Tate, Katharine - The Food Teacher Kuhlengisa, Kudakwashe - MHA Morgan, Jan - Shaw Healthcare Rose, Jodie - Community Integrated Care Tate, Time - The Food Teacher Kupisiak, Aleksandra - Banyan Residential Morgan, Lisa - Lifetime Training Rotchford, Maeve - Pearl Healthcare, Taylor, Mark - Four Seasons Health Care Care Limited Morgan, Tom - CBRE Limited Tudor Lodge Thomas, June - Pearl Healthcare, Laidler, James - CBRE Limited Morgan-Weeks, Ben - Avery Healthcare Rowntree, James - Hallmark Care Homes Tudor Lodge Lakhani, Amin - Coutts Morley, Patrick - HC-One Rundle, Jordan - Christie & Co Thomas, Lisa - Oomph! Wellness Ltd Lane, Ronnie - Gold Care Homes Morris, Selina - The Close Care Home Rushton, Helen - Lexicon Healthcare Thomas, Harriet - Lifetime Training Lapka, Sue - Lexicon Healthcare Morris, Simon - 48 Consulting Russell, Joanne - The Partnership in Care Thompson, Lia - Gracewell of Camberley Large, Ernest - Quantum Care Ltd Morrison, Lara-Jo - Lifetime Training Russell, John - Ontex Healthcare Thompson, Jo - Sanctuary Care Larkin, Niall - Dementia UK Mounsey, Ross - Audley Care Sampson, Gaye - Audley Care Thompson, Russell - Domus Recruitment Lawley Rayner, Serena - Caring Homes Muncaster, Richard - The Care Workers Samudzi, Christina - MHA Ticao, Irish - The Partnership in Care Group Charity Sandhu, Nav - Knights Care Tindal, Laura - Four Seasons Health Care Lawrinson, Paul - Four Seasons Health Care Mupereki, Smart - OM Interactive Sargent, Christine - Sanctuary Care Toas, Victoria - brighterkind Lawson, Richard - Knights Care Murphy, Liza - Four Seasons Health Care Sarkar, Smita - My Life Films Tomkins, Hayley - Sanctuary Care Lazovic, Natasha - Barchester Healthcare Mustatia, Daniela - Southern Healthcare Saville, Pauline - Elizabeth Finn Care Homes Vadana, Razvan - Porthaven Care Leary, Alan - Caring Times Naguit, Claire - brighterkind Saville, Phil - Elizabeth Finn Care Homes Homes Group Leary, Jacqueline - Caring Times Naguit, Denver - brighterkind Sayer, Richard - Shaw Healthcare Valentine-Bunce, Amanda - Innovative Lebuda, Maciej - OM Interactive Nairn, Helen - MHA Group Limited Aged Care Lee, James - Carter Schwartz Nash, Catherine - Elizabeth Finn Care Homes Schofield, Nigel - Caring Homes Group Valentine-Bunce, Christine - Innovative Leighton-Smith, Sam - Compass Associates Nash, Andrew - Elizabeth Finn Care Homes Schofield, Carol - Purchasing Support Aged Care Leslie, Julia - Barchester Healthcare Neal, Will - TLC Care Services Valentini, Giovanni - TLC Care Lewis, Stefan - mcch Nicole, Tiffany - Barchester Healthcare Seabrook, Karen - Care UK Varley, Sue - Caring Homes Group Lewis, Leanne - mcch Nixey, Jeremy - Shaw Healthcare Seaman, Tom - Coutts Vercoe, Bianca - Oomph! Wellness Ltd Lewis, James - Knights Care Norman, Elaine - brighterkind Sehmi, Tej - Apetito Vernon, Ollie - Lexicon Healthcare Lewis, Derek - mcch Norton, Tom - Harben Green Human Capital Selby, Laura - Audley Care Vivian, Shan - We Care Group Liddiard, Kelly - The Regard Group Nunes, Silvia - Stow Healthcare Septelica, Elena - The Care Workers Charity Wadsley, Marion - Gracewell of Camberley Limos, Lalaine - Barchester Healthcare Oakes, Emma - Caring Homes Group Shadbolt, Sally - Care UK Wall, Amy - Quantum Care Ltd Lindsay, Chris - Apetito O'Connor, Sheila - Sanctuary Care Shafi, Qas - Caring Times Wallace, Alina - Innovative Aged Care Little, Jan - Brunelcare Odunsi, Lola - We Care Group Shah, Vishal - Banyan Residential Care Ltd Wanklyn, Cheryl - Hallmark Care Homes Little, Kevin - Brunelcare Ogreanu, Gabriela - Southern Healthcare Shah, Heeral - Banyan Residential Care Ltd Ward, Wendy - mcch Livermore, Helena - Caring Homes Group O'Hare, Deby - TLC Care Sharma, Kanika - brighterkind Wartnaby, Jon - Lexicon Healthcare Livermore, Clive - Caring Homes Group Onuegbu, Kennedy - Shaw Healthcare Shaw, Pauline - The Royal Star Webber, Annie - MHA Logan, Sharon - Apetito Group Limited & Garter Homes Webster, Nadine - MHA Lonsdale, Jan - Lifetime Training O'Reilly, Robina - Barchester Healthcare Sheikh, Haroon - Caretech Holdings PLC Weller, Emma - Hallmark Care Homes Lucas, Steve - Colten Care O'Reilly, Mike - Barchester Healthcare Sheikh, Farouq - Caretech Holdings PLC Werner, Ola - Sonnet Care Homes Lucas, Sally - Colten Care Ortiz, Lisa Marie - Signature Senior Lifestyle Shepherd, Nick - Redwoods Dowling Kerr West, Julie - The Close Care Home Ludlow, Davina - carehome.co.uk Painter, Emma - Caring Homes Group Shepherd, Viv - Redwoods Dowling Kerr West, Jane - Elizabeth Finn Care Homes Lunn, Richard - Christie & Co Palmer, Adele - mcch Sheppard, Amy - Lifetime Training Westcott, Ben - Compass Associates Macdonald, Scarlett - Caring Homes Group Park, Andy - OM Interactive Sheppard, Matt - Compass Associates Weston, Carl - TLC Care Mackenzie, Lynne - Lifetime Training Park, Anna - OM Interactive Sherlock, Amanda - Caretech Holdings PLC White, Mike - Domus Recruitment Maddams, Paula - Healthcare Parker, Karen - Quantum Care Ltd Sherriff, Mark - Caring Homes Group White, Jacqui - Care UK Management Solutions Pascucci, Emilio - Avery Healthcare Sherwood, Nicki - Pearl Healthcare, Whitehouse, Jo - Sonnet Care Homes Magee, Melissa - Banyan Residential Care Patel, Nigel - Coutts Tudor Lodge Whittemore, Cara - Avery Healthcare Limited Patel, Alka - Apetito Sherwood, Gary - Pearl Healthcare, Whyte, Liz - HC-One Maguire, Sarah - mcch Patel, Chai - HC-One Tudor Lodge Wilkinson, Kelly - The Close Care Home Mahmoud, Hawnaz - Nightingale Patersen, Hailei - Barchester Healthcare Silvester, Donna - Avery Healthcare Wilkinson-Shaw, Michael - Compass Hammerson Pa'un, Alina - TLC Care Simpson, Alison - Lifetime Training Associates Mallarai, Marrissa - Porthaven Care Peacock, Rachel - Making Space Simpson, Andy - Barchester Healthcare Williams, Beverley - Gracewell of Camberley Homes Group Pearson, Kate - The Partnership in Care Singh, Sujjata - Hallmark Care Homes Willis, Gemma - Lifetime Training Man, Wendy - Gold Care Homes Pearson-Walker, Bibijanca - Redwoods Singh, Mr - Hallmark Care Homes Willis, Steve - Lexicon Healthcare Mannion, Jayne - Elizabeth Finn Care Homes Dowling Kerr Sirett, Joan - Sonnet Care Homes Willis, Liz - Caring Homes Group Manson, Yvonne - Balhousie Care Group Peckham, Sue - Caring Homes Group Slack, Iain - Banyan Residential Care Limited Willis-Read, Rosamunde - HC-One Manthorp, Chris - Barchester Healthcare Pells, Scott - Carter Schwartz Slade, Trevor - brighterkind Wills, Barbara - Hallmark Care Homes Manton, Jane - Lifetime Training Pena Aristizabal, Raquel - The Royal Star & Smart, Daniel - OM Interactive Wilson, Rosie - Oomph! Wellness Ltd Manzar, Beverley - Ebury Court Care Home Garter Homes Smith, Bethany - Orchard Winstanley, Andrew - Apetito Marashi, Kelly - Redwoods Dowling Kerr Penfold, Simon - Elizabeth Finn Care Homes Management Services Wologiak, Leszek - Gracewell of Camberley Marchant, Heather - PJ Care Perez, Jonathan - Porthaven Care Smith, Simona - Evolve Care Group Wrensch, Andrew - TLC Care Marchant, Laura - PJ Care Homes Group Smith, Laura - brighterkind Wright, Sam - CBRE Limited Marlow, Rachel - Sonnet Care Homes Perreira, Kathleen - Sonnet Care Homes Smith, Antony - brighterkind Wright, Den - Oomph! Wellness Ltd Marvell, Phillip - The Royal Star Perrott, Gemma - Lexicon Healthcare Smith, Mike - Elizabeth Finn Care Homes Wright-Kluger, Amanda - Browne Jacobson LLP & Garter Homes Pettit Florian, Lisa - The Partnership in Care Smith, David - HC-One Wynne, Bernard - Christie & Co Mason, Julie - Caring Homes Group Pickering, Tony - Caring Homes Group Smith, Mike - Shaw Healthcare Group Ltd Yates, Ruth - HC-One Mathew, Jessy - Barchester Healthcare Pierce-Bennett, Amy - Sanctuary Care Smith, Heather - Balhousie Care Group Young, Alison - Porthaven Care May, Rebecca - Carter Schwartz Piercy, Véronique - Caring Times Smith, Liz - The Partnership in Care Homes Group Mazza, Jo - Healthcare Homes Group Pike, Terri - Sonnet Care Homes Sokolnik, Maria - Colten Care Zackova, Gabriela - Innovative Aged Care McCabe, Kelsey - Orchard Management Pillay, Kumi - Apetito Somers, Ali - Nightingale Hammerson Zych, Chris - Apetito 32-41CT0119gh.qxp_Layout 1 07/12/2018 14:10 Page 32

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£690 + VAT £890 + VAT £1190 + VAT £1450 + VAT FULL-TIME BUNDLE EXTRA TIME BUNDLE EXTENDED BUNDLE ELITE BUNDLE • Online banner at • Online banner at • Online banner at • Online banner at www.careinfo.org www.careinfo.org www.careinfo.org • Full page advertorial www.careinfo.org • Insert (one page) plus • Insert (six-page A5 brochure) plus cover • Full page editorial • Full page advertorial cover mount mount • Various sponsorship • Full page advertorial opportunities for the • Full page editorial • Full page advertorial National Care Awards and • Full page editorial • Full page editorial the Dementia Care Awards £1790 + VAT £2290 + VAT £2900 + VAT £4990 + VAT For further information, to book a sponsorship package or to exhibit at any event, please contact Caroline Bowern at Hawker Publications via [email protected] 32-41CT0119gh.qxp_Layout 1 07/12/2018 14:10 Page 33

January 2019 promotion www.careinfo.org Green Tree Court: Care Home of the Year

reen Tree Court, a luxury residential care home attributes its ongoing success to its hardworking team in Pinhoe, Exeter was announced as winner of of expert-trained healthcare professionals: Gthe ‘Care Home of the Year’ category at the “Winning the ‘Care Home of the Year’ title was the 20th National Care Awards 2018. perfect end to November, the month within which we Michelle Gorringe, Managing Director of Green Tree also celebrated our fourth birthday! Green Tree Court Court, said: “Winning the converted Best in Class is something I’m extremely proud to be a part of and ‘Nursing Home of the Year’ at the National Care this recent win is a true reflection of everything the Awards was quite simply the icing on the cake. When team have worked so hard for and how incredible they myself and business partner, Stephen, designed the are with our wonderful residents, day-in, day-out.” Home and the care concept, our vision was to create The judges were in agreement: “All the key a Home that perfectly combined high-standard luxury indicators that signify an outstanding home were living standards and clinical care. Having achieved our exceeded. Staffing levels, training opportunities, outstanding CQC report, Stirling Gold for Dementia technological development, community engagement, Care and now Care Home of the Year, we are simply being well led and having a holistic approach thrilled. underpins their genuine and authentic approach to “I would like to personally thank the Home Director (DSDC), for its Willow floor, tailored to the needs of outstanding care.” Helen, David Barenski, Head of Dementia, Sarah residents with dementia. For more information about Green Tree Court Cundall - Head of Care and every single staff member The University has undertaken several studies on and the service they provide, visit for their contribution to winning this award. I am dementia, analysing the most appropriate way to greentreecourt.com. privileged to work with such an inspiring, caring and provide care to people living with the condition. compassionate team, who ensure that our residents Inspired by their findings on enjoy excellent food, live in a safe and caring how certain colours can ease environment and quite simply, deliver a care service symptoms of dementia, Green that is exceptional.” Tree Court’s ‘Willow’ is set out 33 Green Tree Court features 22 to 24-square-metre in red and gold colours in double bedrooms - twice the size recommended by order to stimulate memory. the Care Quality Commission; a gym and spa area As well as being fully with holistic treatments available; Wi-Fi; Smart equipped to deliver top quality televisions with access to Sky TV in all bedrooms; an dementia care, Green Tree organic, GM-free menu; and an on-site Court’s Head Chef, Tim Ware, physiotherapist and events co-ordinator. who you may recognise from Rated ‘Outstanding’ by the CQC, Green Tree Court his appearance on BBC’s is no stranger to scoring first place at awards Masterchef, is the former title- ceremonies. holder of ‘Chef of the Year,’ The innovative nursing home was formally awarded which he was given at the 2017 the ‘Gold Standard’ earlier this year, an internationally Care Awards. recognised benchmark devised by the University of Helen Rushton, Home Stirling’s Dementia Services Development Centre Manager of Green Tree Court, 32-41CT0119gh.qxp_Layout 1 07/12/2018 14:10 Page 34

January 2019 building with care www.careinfo.org Castleoak launches flexible modular design option Specialist care sector design and build company Castleoak has launched a flexible design, modular system which, it says, will enable operators and their investors to deliver a quality care home in just six months, cutting costs by 25%. Castleoak says “SwiftLiving” building blocks offer huge design flexibility, enabling customers to create their optimum designed care home. A range of exterior finishes are available enabling operators to create a care home development suitable for each locality. Inside, interior designs can be customised to create a customer’s brand and a quality care home An image of one of many flexible care home design options offered by Castleoak’s ‘SwiftLiving’ modular system. suitable for local market conditions. “We think SwiftLiving offers a radical new way to Chief executive Craig Currie said Castleoak had future. We think SwiftLiving is a radical new solution deliver a care home” said Castleoak commercial been developing the new product over the past two that will unlock developments across the UK where director Georgina Lillington, pre-construction and years, refining designs and ensuring the solution offers project viability has been difficult. We’re confident we product leader for SwiftLiving. operators and investors a highly innovative and will cut overall project costs by 25%.” “The care home product is just the first from valuable solution. Care operators and investors are invited to contact SwiftLiving. This is an advanced future-proof technical “We are excited to bring SwiftLiving to the care Castleoak to arrange a visit to experience the space solution; Castleoak’s 30 years’ experience of the care sector” said Mr Currie. “Our purpose at Castleoak is and quality of SwiftLiving at its ISO standard quality sector, distilled.” to create quality living space – we’re looking to the assured manufacturing operations. Hadrian opens The Manor House

Luxury elderly care provider Hadrian Healthcare Group landscaped gardens, the £13m development will opened their latest care home, The Manor House provide residential, dementia and respite care for Harrogate Harrogate, in mid-November. elderly people. With 87 large private rooms overlooking Facilities include a wellness lodge with hydrotherapy pool, hair and beauty salon, bowling green and Wi-Fi throughout. There are library areas and an old- fashioned sweet shop selling everyday items such as greetings cards, newspapers and magazines. As well as a restaurant there is a traditional style tearoom where residents will be able to enjoy time with families and friends, and private dining rooms for special family occasions, all catered by an in-house 34 chef and their team. A lifestyle co-ordinator will organise social and special interest activities for each resident. An appointed chauffeur service will be available, to help make trips into town much easier. Sensitively designed and carefully built with traditional materials to integrate with the local character of the area, the gothic facade of the original building on the site, a grand Victorian house built in the 1890s, has been retained. The building which now houses the wellness lodge is also part of the original development. There are a number of protected trees in the Hadrian Healthcare’s The Manor House Harrogate. The 87-bed luxury development gardens and the new landscaping has been is the group’s seventh such facility, all in key locations across Yorkshire and the North East. designed to feature them. 32-41CT0119gh.qxp_Layout 1 07/12/2018 14:10 Page 35 32-41CT0119gh.qxp_Layout 1 07/12/2018 14:10 Page 36

January 2019 market analysis www.careinfo.org Global capital spurs the ‘big

n recent weeks three big corporate With news that four major care home operators are looking to operators – Care UK, HC-One, and IBarchester Healthcare – have publicly sell-off major tranches of their portfolios, TOM MORGAN, stated that they are looking to sell major chunks of their portfolios. Additionally, H2 head of healthcare at commercial property and investment Capital Partners, which controls Four consultants CBRE, spoke to Caring Times editor Seasons Health Care, has placed that company’s assets on the market. Geoff Hodgson about changes in the social care marketplace “Barchester has publicly stated that an investment bank is helping them to review which have precipitated these offers to sell. their strategic options and HC-One is looking at how they can recapitalise the “HC-One’s shareholders are now looking which can only benefit people living and business, and I think that’s the key thing: at what is happening in the global capital working in these facilities, and their return it’s not necessarily that this is people saying markets, and recognising that the investors requirements are very different from those of ‘we are getting out of the market’,” says considering investing in the UK care market private equity.” Tom Morgan, head of healthcare at have identified that it’s a needs-driven commercial property and investment business, that there are structural challenges Tom Morgan believes the sort of investor consultants CBRE. “I think it is the reaction but that fundamentally, every town in the now entering the market is taking a much of shareholders in these businesses, who country needs care, and need care homes, so longer term view and typically, wants to have a certain cost of capital, with a certain it works as an investment proposition. work with an operating partner rather than investment horizon, now looking at the sort “The really interesting thing is the sort of just holding the purse strings. of investor that is coming into the UK care money that is being invested– global “If the operating partner doesn’t want to market.” infrastructure funds and institutional do something, then the financial partner investors such as insurance companies or doesn’t force them to do it – I think is a very I asked if the moves to sell assets was partly different approach to what has in recognition that size was becoming a been in the past,” he said. problem; that some of these companies had TOM MORGAN: “There is also much less debt become too big, with their portfolios The market is becoming involved; it is a much more becoming too unwieldy to manage more sophisticated and equity-heavy market than it has effectively. been historically, when leverage management teams with “I don’t think it’s that they are too big,” was the key determinant as to said Tom. “Large corporate portfolios take a different skills are whether or not investors more ‘control and command’ approach and focusing on different invested, and you saw some operate differently on any metric you care areas of the market. really quite unsustainable levels to measure, whether that’s financially or of gearing – loan to value ratios operationally, than a smaller provider. of 55-60% are becoming much “I think scale brings certain benefits, pension funds. What is driving the market at more commonplace. That can only be a along with challenges. The strategy that the moment is the real estate but the good thing because the investor coming in 36 HC-One has adopted over the past couple operation of services, the really critical bit, is is taking a long term view. of years, to actively look at their existing what differentiates pricing in the market. portfolio and sell assets on a one-by-one “And that’s true whether you look at the Service integration basis if they don’t believe they are elderly care market, where you’ve I asked Tom if the capital restructuring of the appropriate for long term care, Ha been highlighted five corporate providers, but if ‘big four’ was likely to result in a still greater very successful. They have reinvested you look at what is happening in the focus on the self-pay market, with operators significantly into those assets where they specialist care market – Choice, Regard – seeking to be rid of non-performing homes have felt there’s been a requirement for these have been acquired by infrastructure which relied on publicly-funded placement. capital investment, but they’ve gone out funds, and I don’t think that’s surprising –I “I don’t think so,” he replied. “My and selectively acquired assets to fill think it is a positive move for the sector personal view is that, for a range of reasons strategic geographic gaps or to provide care because this is longer term, more patient including fiscal pressures on local authorities services they didn’t previously have, so capital, capital which likes to invest and then and increasing pressures on the NHS and they haven’t viewed scale as being a deploy significant investment into increasing customer demand, the market is problem. operational and real estate improvements, bifurcating anyway. 32-41CT0119gh.qxp_Layout 1 07/12/2018 14:10 Page 37

January 2019 market analysis www.careinfo.org four’ operators to restructure

“I think it a greater likelihood that there operators for the sector as a whole? I asked. “So I think we are going to have more will be greater attempts to evolve the concept Will this apparent move away from differentiation – a lot of other countries have of integration of care between the NHS and consolidation create new opportunities for got there before us – there is a skilled nursing the social care sector. There is a huge focus on smaller group operators? market, there is a dementia care market, and this by the private sector at the moment, “I think we’re in a period where there is an assisted living market which, when about how can private sector skills, expertise there is significant differentiation in the you think about what the intention has been and capital work collaboratively with the market. The concept of the ‘care home’ is to personalise care budgets, and to improve NHS to alleviate issues like delayed bit of an anachronism anyway, because choice for residents, that makes perfect sense, discharge, and create step-up,step-down there is the growing self-pay, lifestyle- rather than having a ‘catch-all’ building that facilities where the social care sector has a driven elderly care market, and everybody deals with all sorts of people with all sorts of role to play, but the dynamic probably needs knows why that works and why it is conditions, trying to live side by side and the to look a little bit different, with the NHS not attractive, but most of the registered care challenges that imposes on staff. necessarily being just the commissioner, but facilities in the UK don’t cater to that “The market is becoming more potentially being the provider because at the market and their services are much more sophisticated, evolving its offer, and moment, the issue is less around the needs-driven and more financially management teams with different skills are willingness of the NHS and the social care constrained. But ironically, the self-pay focusing on different areas of the market. sector to work together, and more about how element is probably part of the solution Capital, which is a fundamental part of it, is the regulator regulates.” for some of the chronic systemic problems increasingly seeing opportunities to invest What might be the significance of these we have in the health and social care where it feels comfortable. And I think sales or major capital restuctures of four big market. that’s a good thing.

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Allied Healthcare Councils transfer homecare services after CQC’s warning on continuing viability

National homecare provider Allied have taken steps to find new providers. Healthcare is seeking to transfer or Allied Healthcare said the sell all of its homecare contracts to CQC’s warning had led to a other providers after the Care Quality number of customers to transfer Commission issued a statement care services to alternative throwing doubt on the company’s providers and had also disrupted continuing financial viability. staff retention and recruitment. Saying it had a legal duty to notify “These developments have intensi- the 84 local authorities affected, fied the impact of the challenging en- the CQC issued the statement in vironment within which we operate early November. and come immediately prior to the “Allied Healthcare had every oppor- Christmas period, when pressures on tunity to confirm a realistic financially care providers are at their highest,” an backed plan to support the future Allied Healthcare spokesperson said. sustainability of its business and failed “This has also meant that we to do so,” said CQC chief inspector have had to re-evaluate our long- of adult social care Andrea Sutcliffe. term business plan.” “it is now a very unsettling time for Allied Healthcare has since an- everyone who uses Allied Health- nounced that it has been able to ex- care’s services.” tend its existing credit line with The CQC reported on November 5 lender Royal Bank of Scotland by up that Allied Healthcare was able to to three weeks beyond the 30 confirm funding until 30 November November and said it would con- and that it had not given the CQC ad- tinue to work closely with the CQC equate assurance that it could sustain and all commissioners to ensure itself past this date. “minimal disruption to the care” dur- Since then many local authorities ing the transition.

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January 2019 technology www.careinfo.org

echnology has progressed rapidly in Before rushing to buy the latest the last 10 years and is ripe for Tadoption in social care. Decades after technology, care providers need other industries transitioned to using to be clear about what they want it to computers for work, care homes continued to evidence care on paper as the care achieve, says JONATHAN PAPWORTH, environment meant they had no ‘desk’ to use a ‘desktop’ computer. co-founder and director, But now technology has evolved to Person Centred Software. mobile computers, such as smartphones and wearables, care and nursing staff can now use computers in their daily work and www.personcentredsoftware.com Can technology drive outstanding care?

finally reap similar time and efficiency For instance, is the motivation GDPR and Technology is only worth adopting if it is savings as other industries. wanting to keep care records secure and going to move a provider closer to their If integration between health and social compliant, but still accessible for staff to goal, whether that’s delivering person- care is to occur, it is vital that care homes update and read whenever they need? centred care, providing quality of care, or adopt technology, or they risk being left Electronic care recording will help to supporting residents’ independence. behind. Matt Hancock highlights specific improve the quality, visibility and examples he has witnessed of technology quantity of care records evidenced by staff. Ease of use enhancing safety and improving outcomes. Applied technology like wearables, on the There are concerns among the social care He saw electronic care planning that gives other hand, are worn by residents to workforce about how easy technology is to clinical staff better data about what’s monitor a whole range of medical and use, and how easy it is to adopt. Typically, happening to residents, saving costs, and physical conditions and ensure optimum care home workers will include non-native saving each nurse an estimated hour per wellbeing. speakers of English, people with dyslexia, shift, giving them more time to care. If the technology is good, there will be and older non-IT literate people. And he saw a new blood coagulation subsidiary benefits. For instance, staff being Technology must also be designed machine that emails results to the hospital, freed up from documentation means that for care home environments where there so instead of sending people to hospital they have more time to spend with may be blackspots of W-iFi, or no Wi-Fi at for up to three days a week, it takes just residents. all, so the technology needs to work online five minutes. Technology should not be Providers must think carefully about the and offline if it requires an internet 40 adopted just for the sake of it, but with a challenges their service faces, speaking to connection to work. clear goal of what it will achieve and an staff who are closest to residents about the Care homes are being offered a range of understanding of the value it brings to areas that could be made more efficient and technology solutions that will have varying improving quality. effective. What do they recognise could be impacts based on the care home’s required In CQC’s updated KLOEs there is new done better? areas of improvement, and the care needs question (E1.3) that specifically asks how and preferences of the residents they technology and equipment is used to Changes in working practice support. Rather than choosing just one enhance care. This looks at how care Technology may evolve working practices piece of technology, the key is to look at providers can choose innovations that will in unexpected ways. For instance, the each type of technology as a source of risk enhance the quality of care and support a accepted way to check on people during the reduction, enabling carers to be a more service. night currently is by going into their room proactive and responsive. Before rushing to buy the latest multiple times. Alternative solutions, such With this approach, technology will help technology, the primary goal and what is as acoustic monitoring, are safer and lead to to provide a unique service to residents and desired to be to achieved must be identified. less disturbed sleep for people. help to drive outstanding care. 32-41CT0119gh.qxp_Layout 1 07/12/2018 14:10 Page 41

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January 2019 news www.careinfo.org

Two more acquisitions for Target Octopus raises £187m Global real estate advisor CBRE has advised Target home operator Hamberley Care. Healthcare REIT on the purchase of two substantially “This transaction enables us not only to add two to fund more care completed care home developments, one in Oxford premium, purpose-built properties to the portfolio, but and one near Sevenoaks in Kent, for £37m. also welcome a highly-regarded operator into our tenant home purchases The transaction value includes costs and future group,” said Target head of investment John Flannelly. development works, with Target acquiring two CBRE head of healthcare Tom Morgan said there Specialist UK healthcare real estate investor Octopus premium-quality elderly care homes, adding 130 beds. was a strong demand for care at the two locations Healthcare has raised £187m for its UK care home Both developments are due to complete by mid- and the partnership between Target and Hamberley fund on the back of growing demand from institutional 2019 and the finished homes will be let on new was well-placed to meet this local need sustainably investors for this class of assets. institutional, full repairing and insuring leases to care over the long term. Launched in 2010, the fund invests in modern, purpose-built, elderly care homes in the UK. It converted to an open-ended structure in 2017 to capture the opportunity to scale a sector-leading, unlisted real estate fund, following demand from institutional investors to increase their allocation to healthcare real estate. Octopus currently manages more than £2.3bn of institutional funds across the group. Octopus Healthcare director Ben Penaliggon said that, while there was demand for modern, high-quality care homes in the UK, supply was limited. “There is a huge opportunity for institutional investors to invest in this growing market and provide Susan Willoughby retires the capital needed to create suitable accommodation for the ageing population, while benefiting from the Susan Willoughby has retired from her said Susan. “I have seen many long term, inflation-linked income that the sector 19-year tenure as chief executive of changes during my time but the one offers,” said Mr Penaliggon. major provider Care South. thing that has never changed is the “The Octopus Healthcare Fund is driven by A chartered accountant, Susan passion, commitment and dedication changing demographic trends and a desire to create joined Care South, originally known as of our staff to ensure our residents high-quality accommodation for the elderly. We are a The Dorset Trust, in 1999 as interim receive the very best care and feel at specialist manager and we have the benefit of an in- finance director and was promoted to home while in our homes.” house development team that provides a proprietary chief executive the following year. Property director and deputy chief pipeline of deals.” Susan’s achievements include executive has taken over as chief leafing the company in the creation of executive. Care South chairman a strategy to ensure financially security with a Felicity Irwin said Susan had been a credit sustainable future, including the rebuild and to Care South. acquisition of a number of care homes. “Her achievements and commitment to the “This has been challenging at times and charity are something she can look back on with rewarding at others, particularly when requiring pride,” she said. “Susan has always had a caring MAJOR NEW WEBSITE FOR the closure of homes to embrace new builds and and empathetic relationship with the staff and has ensure the safe transfer of residents and staff,” laid a path that will be closely followed in the future.” THE DEMENTIA SECTOR!

42 Essential NEW analysis for your next development Mitigate risk, maximise opportunities with our new location-specific data Staffing analysis Dedicated dementia analysis

To request more information, email [email protected] or call 08458 690777 Our unique insight, your foresight 42-45CT0119.qxp_Layout 1 07/12/2018 14:12 Page 43

January 2019 www.careinfo.org

MARKET ANALYSIS A wave of new money rang the changes in 2018

With SAM WRIGHT, director with the healthcare team at CBRE.

This time last year we asked the top investors in the sector what their appetite was for 2018 and we got an overwhelming response: they told us that they had allocated up to £7bn of equity to buy healthcare property over the course of the year. While we knew, given the size of our sector, that they were never going to be able to deploy all of it, we knew it was going to be significant force over the course of the year. While the dust has yet to settle on the exact amount they have invested, it has certainly been significant and they have been at the forefront of many of the leading transactions. What I think is interesting however is not that they have been investing, but how their investments are changing the shape of the market. From a pricing perspective the impact has been further polarisation; while we have seen the values between the top and bottom of the market diverging over the last 5-10 years, this weight of capital has exacerbated this trend. At the top end of the market, the wave of money focused almost exclusively on new, purpose built, high quality assets in affluent areas has resulted in demand outstripping supply whenever they have come to the market. Against a wider investment landscape of low return and greater risk in more traditional sectors such as retail, this has pushed up prices. Conversely at the bottom end of the market, particularly for smaller owner managed elderly care homes of less than 25 beds both demand and values have fallen. While not a direct consequence of this investment, the focus of this capital towards more ‘institutional quality’ assets is part of, and indicative of, a wider market shift away from more traditional assets that we really saw come to the fore in 2018. This polarisation of pricing, increase of institutional funding 43 and increase in the demand for ‘institutional’ quality assets is also indicative of a wider institutionalisation of the market. While the number of investors has been increasing over recent years and the number of ‘mom and pop’ operators has been declining, this additional capital, and the prices they are willing to pay for the best assets, marks a step-change in this shift. It marks a change both in terms of the quality of assets that the market wants but also a change in the type of players who are going to be driving the market in the years to come. While 2018 may not have been a year of shocks announcement or legislative upheavals, it has nonetheless certainly been a year of significant change. 42-45CT0119.qxp_Layout 1 07/12/2018 14:12 Page 44

January 2019 care businesses sold www.careinfo.org

PROPERTIES AND BUSINESSES RECENTLY SOLD IN THE CARE SECTOR

Moorlands Nursing Home Cloisters

Location Strensall, York Location Crosby, Registration 68 elderly Registration 20 elderly Seller Astonbrook Care Homes Agent Aldridge Care Homes Agent HPC Tel 0330 1232066 Tel 01904 529110 Bothwell Castle Wymondley Nursing Home

Location Bothwell, South Lanarkshire, Scotland Location Stevenage, Hertfordshire Registration 75 elderly Registration 59 elderly Agent Christie & Co Buyer Mr M Raja Tel 0131 524 3406 Seller Wymondley Nursing & Residential Care Home Ltd Asking price: £6.5m Agent Christie & Co Mead Lodge Tel 020 7227 0700

Location Buxton, near Norwich Registration 24 elderly Buyer GroupEast Ltd Seller Michael & Janet Hayes Agent Christie & Co Tel 01473 234904 Greenlaw Grove Sold by way of company share transfer Location Newton Mearns, East Renfrewshire, Scotland Registration 113 elderly Agent Christie & Co Tel 0131 524 3406

Generals Meadow

Location Deal, Kent Registration 19 residential Development site Agent Christie & Co Tel 01622 656000 Location Exmouth, Devon Registration A 1.87-acre site Buyer Barchester Healthcare Seller MHA 44 Agent Carterwood Rosepark Tel 08458 690777 The sale completed in just over four months from agree- Location Uddingston, South Lanarkshire, Scotland ing heads of terms. Registration 60 elderly Agent Christie & co I Information appearing in “Care Homes Sold” is Tel 0131 524 3406 published in good faith that the information is accurate and cleared for publication. The onus for accuracy is on the property agent. Craignair Cumberland Caring Times will not publish, in a subsequent issue, corrections or alterations to information supplied. Location Crosby, Liverpool Location Herne Bay, Kent Agents, please note that items cannot be withdrawn once the copy deadline has passed. Registration 21 elderly Registration 29 dementia We advise readers to confirm any details with the Agent Aldridge Care Homes Agent Christie & Co property agent concerned. Tel 0330 1232066 Tel 01622 656000 42-45CT0119.qxp_Layout 1 07/12/2018 14:12 Page 45

January 2019 business news www.careinfo.org

PROPERTIES AND BUSINESSES RECENTLY SOLD IN THE CARE SECTOR

Camelot St Brelades Croftbank House

Location Eastbourne, East Sussex Location Herne Bay, Kent Location Uddingston, South Lanarkshire, Scotland Registration 17 elderly Registration 37 dementia Registration 68 elderly Agent Christie & Co Agent Christie & Co Agent Cbristie & Co Tel 01622 656000 Tel 01622 656000 Tel 0131 524 3406 Renaissance acquires two more care homes

Scottish care home operator Robert Kilgour has plans to become a major Scottish care home bought two Lanarkshire care home companies – the operator,” said Mr Kilgour. latest step in his growth plan aimed at doubling the “We’re a nimble Scottish company, wholly-owned size of his company Renaissance Care. by the management of the company, and this gives us The operating companies for the two Uddingston a platform to develop further and faster. I would like to properties, Rosepark Nursing Home and Croftbank see us double in size over the next two to three years Care Home, which have a total 128 beds and employ to have close to 30 properties in Scotland. I believe close to 200 staff, have been acquired from the this is an achievable target. Balmer family, who run locally-owned Balmer Care "I've been in this sector for a long time, and I'm Homes Group Ltd. determined to continue Renaissance Care’s growth, The deal also includes the purchase of a making it an even better company which focuses on development site next to Croftbank, where Mr Kilgour staff development – hence we’ve more than doubled plans to build another care home in the near future. our training budget over the last four years. With this These additions mean Renaissance Care now has new growth in our business comes increased a portfolio of 14 homes with close to 700 beds, employment opportunities. We currently have 64 job 45 employing almost 1,000 staff. vacancies of varying types right across the group." ROBERT KILGOUR: Mr Kilgour was the founder of Four Seasons Health Mr Kilgour is concerned about the potential impact Care, which he started with one care home in his of Brexit on retention of EU staff and the achieving of We’re a nimble Scottish native Fife in the late ’80s, before departing the immigration visas for new recruits. company, wholly-owned by the company in 2000 - by which time it was the fifth “About 30% of our current staff are non-UK citizens management of the company, largest business of its kind in the UK with more than and many are from EU countries,” he said. 100 homes and 6500 employees. He completed his “Our priority is to make them feel welcome and and this gives us a platform to final financial exit from Four Seasons in 2005. encourage them to feel they have a long-term future in develop further and faster. I The latest acquisitions by Renaissance will boost Scotland with Renaissance Care. would like to see us double in its turnover to £25m in the coming year up from “With around 30 homes, we would plan to open our £20m this year, operating a spread of care homes in own staff training academy post-Brexit to develop our size over the next two to three Edinburgh, Glasgow, Aberdeen, Aberdeenshire, own trained staff, including staff trainers who would go years to have close to 30 South Lanarkshire, Perthshire and Moray. out and work with our existing staff within our care properties in Scotland. “This deal is another step in our ongoing expansion home network.” 46-48CT0119ads.qxp_Layout 1 07/12/2018 14:13 Page 46 46-48CT0119ads.qxp_Layout 1 07/12/2018 14:13 Page 47 46-48CT0119ads.qxp_Layout 1 07/12/2018 14:13 Page 48