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Roger Daniels of Red Homes on oral hygiene

Roger Daniel is CEO at Red Homes Healthcare. Having grown up working in and around care homes, Roger has vast experience in delivering care. Here he discusses how important it is to have an oral hygiene policy in place.

CQC research released earlier this year found that 52% of care homes were without an oral health policy, and 73% of care didn’t sufficiently cover dental health. This is such an important but often overlooked aspect of care that protects residents’ oral health and in turn their overall wellbeing.

Conditions such as Parkinson’s disease and dementia which affect a person’s ability to brush their teeth effectively, medications which reduce saliva and the fact that natural teeth are now maintained for longer all lead to greater oral health problems. For those in our care. we must not only address these issues as they arise but also put initiatives in place to prevent them from occurring in the first place.

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Dentist chair used for oral health in Care Homes

The Care Quality Commission (CQC) has today published the findings of an in-depth review on the state of oral health care in care homes across England.

The review draws on one hundred inspections of care homes on which CQC inspectors were accompanied by inspectors from dental regulation. It reveals that three years on from the publication of NICE guidance on oral health in care homes, steps are often not being taken to ensure that people get the oral health care they need to ensure that they are pain-free and that their dignity is respected. 

Key findings include: 

  • The majority (52%) of care homes visited had no policy to promote and protect people’s oral health
  • Nearly half (47%) of care homes were not providing any staff training to support people’s daily oral healthcare.
  • 73% of residents’ care plans we reviewed only partly covered or did not cover oral health at all – homes looking after people with dementia being the most likely to have no plan in place.
  • 17% of care homes said they did not assess people’s oral health on admission
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Sherwood House staff

Cygnet Health Care’s Sherwood Lodge and Sherwood House rated ‘Outstanding’ by Care Quality Commission

Sherwood Lodge rated ‘Outstanding’ across all five CQC categories.Cygnet now has the only two learning disability hospitals in the country to have achieved this extremely rare accolade

Cygnet Health Care is delighted to announce that the Care Quality Commission (CQC) has rated the care provided by Sherwood Lodge, Cygnet’s specialist learning disability hospital and Sherwood House, Cygnet’s specialist rehabilitation mental health hospital as ‘Outstanding’.

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CQC logo

A care provider that failed in its duty to provide safe care and treatment has been fined £24,000 and ordered to pay £14,000 towards the cost of the prosecution, and a £170 victim surcharge, by North Tyneside Magistrates’ Court.

The Care Quality Commission brought the prosecution following the death of an 83-year-old woman at Gretton Court care home in Hartlepool.

The provider, The Hospital of God at Greatham, previously pleaded guilty at South Tyneside Magistrates’ Court, on 13 March 2019, to two offences: failing to provide safe care and treatment resulting a resident being exposed to a serious risk of avoidable harm, and a failure to provide safe care and treatment to the residents of Gretton Court from being exposed to a significant risk of avoidable harm.

The court heard how a new resident was admitted to Gretton Court on 25 November 2015. Due to them being at risk of falling from bed when resting, it was decided that they needed bed rails and passive infrared sensors (PIR), that sound an alarm when they detect movement. The resident’s need for bed rails was reassessed throughout 2016 and they were found to be of low risk of falling from bed. However, the provider had failed to ensure that staff, responsible for assessing these needs and the safe use of bed rails, had received appropriate training. A relevant safety policy was also not available. The bed rails remained in use.

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James Thomas, left, discusses care home services with a client

James Thomas, QFP, Commercial Manager at d&t business planning, discusses the need for careful planning when extending care home services.

The expansion of care home services requires the mitigation of risk through analysis and proper planning both to protect the business and those it cares for long term.

Extending an existing facility by nature often requires significant investment and therefore, commercial backing.  Securing appropriate funding will be a key part of the successful expansion of services. Here, a balance needs to be struck between the need for borrowing and the income likely to be generated from providing care services.

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A tablet being used in a residential care home

Colin Yates, chief support officer at WorkMobile – an award-winning mobile data capture solution – discusses the links between going paperless and the quality of residential care. 

Over the past few years, digital transformation has become an increasingly hot topic in business circles. There is a very good reason for this: done well, digital transformation drives efficiency and improves productivity, saving a business both time and money.

Enterprises in almost all industries stand to benefit from their own digital transformation projects, and the care home sector is no exception. The question is, what would this look like?

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Care home closes after CQC remove operator's registration

A care home operator has had his Care Quality Commission (CQC) registration cancelled following a rating of “inadequate” in a recent inspection.

The CQC took the action to cancel the registration of Mr Thurairatnam Nadarajah Prakash and he is now no longer legally allowed to provide care at his service Durham Care Homes in Hull.

The CQQ said in a statement: “The latest inspection, in February 2019, rated the service inadequate overall and it was placed into special measures. The inspection revealed a significant deterioration in the care being provided and inspectors began the process to take enforcement action.

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Specialist Neurological Rehabilitation Service in Oxfordshire rated Outstanding by the CQC

A neurological rehabilitation centre in Oxfordshire has been rated ‘Outstanding’ by the Care Quality Commission (CQC).

Orchard House, which opened in 2014 and is run by Christchurch Group, provides specialist community-based transitional rehabilitation in the village of Harwell in Oxfordshire. It supports adults with neurological conditions resulting from injury, illness or disease. The service offers accommodation for 9 residents and is a Headway Approved Provider.

Inspectors praised the service for its exceptional care, its strong, values-led leadership and their  person-centered approach displayed by the registered manager and staff, which provided clear therapeutic benefits for patients. The CQC also highlighted how the registered manager had ‘continually thought of initiatives to make improvements to enhance people's lives and those of the staff.’

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Carer and woman in wheelchair in a care home

Care homes getting worse in one in three local councils – urgent action needed to end inadequate standards of care, says older people’s charity

The quality of care homes has worsened in the last year in more than a third of local authorities (37%) Independent Age has found.

With over 2.6 million over-65s living in areas where an increasing number of care homes are rated ‘inadequate’ or ‘requires improvement’ by the Care Quality Commission (CQC) many older people and their families have no choice but to choose a poorly-performing care home. 

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Care Home Support and Training

At Care Home Support and Training we work with Managers, Nominated Individuals and Providers to meet and exceed the regulatory requirements.

Expectations on social care services mean that Managers and Providers can sometimes feel overwhelmed with what appears to be increasing demands and ever changing requirements.  Care Home Support and Training work with you, offering professional support and expertise to find creative solutions to your challenges and problems.

We have a small team, with over 45 years of experience in health and social care. We offer a personalised service, specific to your needs, whether that is training in the fundamental standards, how to improve your CQC rating, streamlining documentation or policies …. or any care home challenges that you may face.

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Group celebrating the Graham Watson award

Months of head-to-head heats and a showdown final have seen residential care home provider Care UK crown Graham Watson Care Home Chef of the Year.

Catering sector experts joined a panel of judges to name the champion, in a multi-stage competition open to the hundreds of chefs from across Care UK’s 119 homes.

The trophy was lifted, at the Residential Care Services (RCS) Stars awards ceremony, by Graham, the head chef at Lauder Lodge, in Edinburgh.

Having worked in the hotel and leisure industry for much of his career, Graham has cooked for an impressive array of people, including wildlife campaigner and broadcaster Sir David Attenborough and Anne, Princess Royal.

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CQC review checklist

The CQC has published its findings following a review of health and social care services in Staffordshire.

The report is one of 23 targeted local system reviews looking specifically at how older people move through the health and social care system, with a focus on how services work together. The reviews look at how hospitals, community health services, GP practices, care homes and home care agencies work together to provide seamless care for people aged 65 and over living in a local area.

During the review CQC sought feedback from a range of people involved in shaping and leading the system, those responsible for directly delivering care, as well as people who use services, their families and carers.

 

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