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Doped! Over-prescribing of anti-psychotic drugs to people with learning disabilities

Doped! Over-prescribing of anti-psychotic drugs to people with learning disabilities ›

15th September 2015 | Categories: Adult Social Care , Learning Disability , Mental Health

The news that people with learning disabilities are being prescribed anti-psychotic medication inappropriately reminds me of the ‘chemical cosh’ situations of the bad old days. We need to ask questions as to why these medicines are used. A study published in the British Medical Journal this month has revealed that a worrying number of people…

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Micro-enterprises: Small fry?

Micro-enterprises: Small fry? ›

10th September 2015 | Categories: Adult Social Care

I was speaking to a commissioner recently about the difficulty she had negotiating with some providers over fees, because nobody at a local level was able to make decisions. Inevitably, some ‘suit’ from head office had to be mustered to enter into any discussion about changes in funding. This person was usually a financial expert…

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End of Life Care – More care, less pathway

End of Life Care – More care, less pathway ›

1st September 2015 | Categories: End of Life Care , Food & Nutrition

As more of us live longer, the awareness of the greater complexity of need in the last days, months and years of life has increased. This, together with the projected rise in numbers of people dying over the next couple of decades, reinforces the importance that providing care and support to people with terminal illness…

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Mental health care & support plans in Wales: Outcome-focussed plans are here

Mental health care & support plans in Wales: Outcome-focussed plans are here ›

27th August 2015 | Categories: Welsh Care , Welsh Social Care

At the risk of teaching Grandma to suck eggs, let’s consider some of the current requirements for care and support planning in the field of mental healthcare in Wales. In recent years, we have had the Mental Health Measure Wales (2011), and the Social Services and Wellbeing Act (2014), which should guide our practice. However,…

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A change is the benefit of a rest

A change is the benefit of a rest ›

21st August 2015 | Categories: Adult Social Care , Learning Disability

In the middle of the holiday season, the real benefits of a short break can be remarkable Always when I speak to staff returning from holidays with service users, the feedback is positive. They remark on how challenging behaviours reduce, new skills and abilities are learned or surface for the first time and how much…

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NCA: The care industry is sick and needs urgent attention

NCA: The care industry is sick and needs urgent attention ›

19th August 2015 | Categories: QCS

National Care Association leader Nadra Ahmed, OBE issues a stark warning to Cameron’s government, now 100 days in power. Mrs Ahmed, reacting to the “chronic underfunding” and financial pressures of the care sector, has issued a stark warning to David Cameron’s Conservative government, now 100 days in power. As care demand increases, she claims a…

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Do your staff feel comfortable enough to “blow the whistle”?

Do your staff feel comfortable enough to “blow the whistle”? ›

19th August 2015 | Categories: Human Resources

The allegations surrounding the Kids Company charity, which closed recently, acts as a timely reminder about the importance of having robust whistle-blowing procedures in place and acting on complaints when received. Allegations have been made by former staff of Kids Company (which are denied!) about financial mismanagement and that the charity failed in its handling…

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Challenges ahead – changing roles in social care

Challenges ahead – changing roles in social care ›

16th August 2015 | Categories: Scottish Social Care

There are substantial challenges for the care sector at present. One factor is the current shrinking economy of care, whereby funding is increasingly reduced in this time of public austerity. A second trend is the increasing demand for social care, caused by an increasingly older and more dependent population. These two trends are squeezing care…

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Care Regulation in Wales – Friend or Foe?

Care Regulation in Wales – Friend or Foe? ›

13th August 2015 | Categories: Welsh Care , Welsh Social Care

The Social Services and Well-being (Wales) Act (SSAW) 2014, will come into force in Wales from April 2016. This is the first overarching regulatory legislation within the Principality for 13 years and marks the next stage of the evolving regulation journey. As many of us return form our well-deserved summer break, our thoughts are likely…

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Medication for people with learning disabilities in care

Medication for people with learning disabilities in care ›

10th August 2015 | Categories: Learning Disability

The NHS in England has released a circular, expressing concern about the over-medication of people with learning disability. In the wake of the Winterbourne View abuse investigation in 2012, staff were convicted and some imprisoned for abuse of the patients at a private hospital. A Department of Health follow up to this scandal noted that…

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CQC Outcomes are now called Key Lines of Enquiry. CQC Essential Standards are now CQC Fundamental Standards.