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Providing a quality service tops survey of managers concerns

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Each year the National Care Forum conducts a ballot of the current key issues for managers. The year's question was worded slightly differently - "As a manager in the care sector, what matters to you?" and yielded a wide range of responses with some clear clustering.

The results for 2011, based on frequency of mention, are as follows:

1. Providing an excellent quality care and support service
2. Attention to person-centred/individual support
3. The value of training, well-trained and motivated staff
4. Contentment, well-being and happiness of people receiving care and support
5. Dignity, respect and compassion for people receiving care and support
6. Staff feeling valued
7. Relationships and communication
8. Creating positive change
9. Being a good listener
10. Confidence

These findings are in sharp contrast to issues of funding, CQC compliance/ratings and recruitment and retention as identified for the top three last year. 


However they indicate what motivates managers.

CQC brings in experts to help with inspection

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It has been a good week for the Care Quality Commission. On Tuesday it released figures showing inspections of adult social care services grew by a third over the last three months.

Today, it announced that it is partnering with Age UK, Challenging Behaviour Foundation and Choice Support to provide experts to help with its work. More partners are to follow.

It'll be a welcome move from those who have voiced concern over lack of expertise at the regulator following the Winterbourne View abuse scandal. Several people have told me that they believe one of the reasons the CQC was not quick to act when a whistleblower told it about the abuse at the hospital, was because it no longer has learning disability experts on the books, who might have kept staff alert to the dangers of learning disability hospitals.

Big Society heat map published

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Independent thinktank the New Local Government Network has published a report today showing the communities ready to benefit from Big Society and those at risk.

The report shows that:

  • There is no strong link between a community's wealth and its 'Big Society' resources, with some deprived areas comparatively rich in community wealth. A poll of local authorities suggested that even in areas facing the steepest budget reductions, ingredients of the Big Society are often strong.
  • In new heat maps illustrating Big Society resources, Barking & Dagenham and Harlow councils are least well placed to benefit from the Big Society, with the South West and North of England regions faring strongest.
  • Communities faced with 'double deprivation' - those lacking both financial wealth and community resources such as volunteering - should be targeted for extra help to cope with the withdrawal of traditional state services.
The report recommends a much clearer role for local government in helping the Big Society grow from within localities and also to target those communities lacking both financial wealth and community resources such as volunteering for extra help to cope with the withdrawal of traditional state services.

Insurers back compulsory model for funding, Telegraph readers don't

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Insurance experts have backed a compulsory insurance system to fund long term care for adults, the Telegraph reports.

The Telegraph highlights the response from the Association of British Insurers (who would probably stand to gain under any insurance system, unless it is entirely administered by the state) which says a voluntary system won't work.

This doesn't make them any different from anyone else, most people responding to the consultation said the same thing.

But the comments section on the Telegraph story reveals quite a heavy amount of opposition to compulsory funding, most people seem to think their National Insurance will cover it.

In its own way this story is a microcosm of the problem facing Andrew Dilnot and the ministers implementing his reports recommendations.

Sex trafficking charity's future in doubt with loss of contract to Salvation Army

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There are concerns about the future of sex trafficking charity Eaves Housing after ministers withdrew funding in favour of the Salvation Army.

Eaves Housing is known for running the Poppy Project, which it developed to provide accommodation and support to women who have been trafficked into prostitution or domestic servitude. However now the government has decided to award a £6m contract to the Salvation Army.

This could be significant as the Tories have expressed support for faith groups running specialist services.

It is particularly significant considering a woman who was a repeated victim of sex trafficking is to be paid substantial damages by the Home Office after it returned her to Moldova, despite the fact that she faced grave dangers there.
A timely report out today from charity analysts New Philanthropy Capital looks at how community groups can deal with the climate of funding cuts - and maximise their opportunities under the Big Society - by more rigorously demonstrating the value of their work.
This is of course difficult for small organisations with limited capacity, but the report stresses that it is vital.
A key message is that groups should focus on tackling the root causes of social problems, in areas such as poverty and violence against women.
An example of good practice in this area, it says, is Toynbee Hall, which works to tackle poverty in London's East End.

Care providers' fees to CQC set to rise

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Sources in the industry tell me the Care Quality Commission (CQC) is set to raise its fees for care providers later today.

One provider said they received just a few days notice of the higher fees, wrecking their financial plans.

The CQC conducted a consultation on this earlier in the year. It's not clear at this point how far fees will rise, or how many providers it will effect but in the consultation it estimated a rise of £5.7m overall.

Providers had calculated this could equate to an increase of over 80% for some providers.

Needless to say, care service providers were pretty irritated in January. Some said that the regulator did not provide a good value service.

I can't imagine they'll be overly happy about it now and it's difficult to imagine the bill not being picked-up by councils or the public.

Government threat to councils to act reasonably lacks clarity, says top MP

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Eric Pickles threat to force councils to act reasonably when cutting the voluntary sector may not be all it's stacked up to be, according to Public Finance.

Clive Betts, the chair of the commons local government select committee, wrote to Pickles asking him to clarify his comments after he had declared that Westminster was prepared to legislate immediately to stop councils inflicting 'disproportionate' cuts on charities.

However it's unclear how the government intends to do this, as Betts makes clear.

I wrote recently about the financial secretary to the treasury's categorical assurance to voluntary groups that government had been clear that charities, voluntary groups and not-for-profit organisations shouldn't bear a disproportionate share of the pain.

Big Society in action: The case for Homeshare

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Homeshare.jpg
Social work student Joanna Nabrzyyska shares 89-year-old Cilly Haar's home. Though Joanna pays no rent, the two are not related and until less than a year ago they were perfect strangers.
This is Homeshare in action - a version of the Big Society that involves older or disabled people with low-level support needs inviting younger people in housing need to share their homes. These matches are arranged by Homeshare schemes, who carry out relevant safeguarding checks too. Sounds good right? However, only a dozen schemes exist in the country.

Our feature on this issue this week is designed to coincide with revised guidance published today on Homeshare for commissioners, policy makers and practitioners.
The guidance, published by umbrella body Naaps, is designed to spark interest in Homeshare and try and promote its expansion - on the basis that this level of low-level support will help prevent older people's needs escalating, as Alex Fox, Naaps chief executive, argues in a column for us.
And it needn't cost councils a penny, beyond some pump-priming. The voluntary sector scheme we feature in our piece is entirely funded by user contributions.

(Image by Tom Parkes)

Council dementia service consultation 'farcical'

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A council has had its complex consultation for dementia service users branded 'farcical' by the Alzheimer's society.

The Alzheimer's Society said that many dementia sufferers could not hope to respond in a meaningful way.

Sadly this isn't the first council to have problems like this.Kent Council was threatened with involvement of the audit commission over it's consultation over care home closures.

Pressure groups from various walks of social care have branded consultations of increases to charges for social care tokenistic in the past couple of months.

London Councils were even forced to re-examine a decision to cut £10m of funding from charities because, in part, its consultation on the decision had not been adequate.

It all raises the question of when are councils going to get this kind of thing right?

About the Adult Care blog

   
 

The Adult Care blog looks behind the policies, practices and personalities involved in the care of older and disabled people for any hidden truths, helpful tips or humour.

It is written by Community Care’s adults’ services beat editor Mithran Samuel.

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