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Is it on the trolley?

Is it on the trolley? ›

29th January 2016 | Categories: Care Planning , General , Learning Disability

Are we really offering people choices about their lives, or is the choice defined by what we make available, rather than what people want or need? And is that OK? I’m a big advocate of giving service users a say in the way they are supported. In fact, if I was anything but, I would…

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A Pathway for Improving Practice

A Pathway for Improving Practice ›

3rd November 2015 | Categories: Adult Social Care , Learning Disability

The introduction of a new pathway for developing people who work with those with learning disabilities will be of interest to service managers in health and social care. I’m a fan of competency frameworks. I like the fact that there is an evidence-based and quality-checked set of competencies that staff can work to achieve. The…

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One at a time please!

One at a time please! ›

27th October 2015 | Categories: Learning Disability

Communication with people with profound learning disabilities is always fraught with challenges, as often they are unable to express their more complex emotions in ways that are easy to understand. Often, they are experiencing feelings that are difficult to deal with or explain. Inevitably, our struggle to understand can escalate into their extreme behaviour, as…

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Get off your sofa and on your feet!

Get off your sofa and on your feet! ›

14th October 2015 | Categories: Learning Disability

It’s well documented that people with learning disabilities struggle to access sports and physical exercise opportunities, with telling consequences for their health. What does it take to help improve this situation? This week I rediscovered yoga following the advice of a friend, finding myself dashing to the gym after a particularly ‘interesting’ day in the…

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Jump in, Join in, Get connected!

Jump in, Join in, Get connected! ›

9th October 2015 | Categories: Learning Disability

I was speaking to a colleague last week about online sources of information and was flabbergasted when he told me that he had never used it. Moreover, he was so averse to this form of information sharing, I felt like I had suggested something illicit and dangerous! Of course, in the hands of unscrupulous authors,…

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Not there yet – Russian Inclusion

Not there yet – Russian Inclusion ›

30th September 2015 | Categories: Learning Disability

Five Essential Service Accomplishments Inclusion of people with disabilities is becoming part of the British way of life. Whilst we have some way to go, it is already embedded in our culture to the extent that we are no longer afraid or surprised when we encounter people with intellectual disabilities in day-to-day situations. Recent television…

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Funding Improvements for People with Learning Disabilities

Funding Improvements for People with Learning Disabilities ›

27th September 2015 | Categories: Learning Disability , Scottish Care , Scottish Social Care

Convention on the Rights of Persons with Disabilities The Scottish Government introduced a new strategy in 2013 to improve services for people with learning disabilities. It is based on the United Nations Convention on the Rights of People with Disabilities. The implementation focuses on four main areas. These are: A healthy life – To achieve…

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Small Fry

Small Fry ›

21st September 2015 | Categories: Learning Disability

A report that looks at how micro-enterprises compare with large organisations in the delivery of social care has interesting findings. 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…

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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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Movement without medication

Movement without medication ›

7th September 2015 | Categories: Adult Social Care , Learning Disability

I have long had a ‘thing’ about the unnecessary use of laxatives. Its time to stop assuming these are a necessary fact of life for those with profound and complex needs. Chances are that if you support people with severe learning disability, you administered one of these today – Lactulose, Senokot, Movicol: the inevitable sticky…

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