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Adult social care – workforce web forum

Levelling Up, Housing and Communities Committee

  • What works and what doesn’t work about the current system?
  • Are you able to provide the services people need?
  • Is there sufficient funding available for adult social care?
  • Have you come across any successful alternative approaches for financing and providing care?
  • What has been the impact of recent policies, like the 'social care precept' on council tax and the new national living wage?

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23 Contributions (since 11 August 2016)
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Total results 23 (page 2 of 3)

Mitch Miller

31 August 2016 at 20:40

The Government funding is an absolute disgrace. Employers have had to face the increased working costs this year: -National Living Wage -Workplace Pensions -Increased recompense to employees for fuel costs and travel time Yet local councils are refusing to pay rates reflective of realistic costs care providers face. Tell me how are you supposed to pay a carer legally, deliver a safe and effective service? I note there is a real inconsistency in funding across councils and there are many people we see not receiving the funding they need. Which is a soul-destroying position!

Cliff Shepherd

31 August 2016 at 17:07

I have been a volunteer at Gateway Club, a Mencap club for people with learning disabilities, as Club Leader, and find there is an 1.An increasing, expensive, and worrying trend for the dependent people with learning disabilities, both wholly and partially, to be subject to inflexible staff shifts and staff shortages so that clients activities e.g. theatre visits are prevented or curtailed e.g. an agency worker intended to take home two clients 10 minutes into the second half of a music concert because her shift finished at 10 pm and she had to travel alone on a bus! Conversely care organisations allocate more carers than are necessary on external visits. Agency carers don't know even their client's name when arriving at the Club, and certainly not their medical history. A worrying trend for organisations to charge for activities sometimes worrying high. To hide behind concept that the client can do what he/she likes for inactivity. The controls over the spending of Clients' money to be lax both implementation and scrutiny. e.g. it is seems a universal practice for clients to pay for carers meals on trips and outing, and occasional for those carer's meal costs to be high. THE CONTROL AND CHECKING OF CARE ORGANISATIONS IS WEAKER RELYING MOST ON EXTERNAL AUDITORS. [edited to remove abbreviations]


28 August 2016 at 19:10

I have been Working in health care for 7 years in the community, apart from not being given enough time in each home, it's great, on the other hand my grandmas is in a home (the 4th care home) and has been neglected, forgotten, institutionalised, and we have complained so many times, the cqc couldn't care less! The whistle blowing system may aswell not exist to them because they take no notice!! And some of the staff we have come across these last 5 years, have been appalling, 'just a job' attitude! 'Pay peanuts, get monkies' comes to mind!! Educate. Train. Care!

Amanda jane Evans

28 August 2016 at 09:20

Drop the zero contracts and more respect for staff. Have worked with learning disabilities for over 20 years and also taught SEN.the role of personal assistant seems to extend to whatever the company see fit. I draw the line at decorating someone's house and cleaning windows the client yes but not be a general dogsbody.

Nicola Low

27 August 2016 at 09:26

Hard to recruit sufficient qualified Occupational Therapists to local authorities and removal of Allied Health Professional bursaries likely to further reduce cohort of experienced assistants accessing our local part time BSc in-service qualification. OT shortages limit LAs capacity to deliver prevention & well-being and enhanced independence as required by care act. [Edited to remove abbreviations]

Sonal Sher

26 August 2016 at 21:52

I am very new to Social Care and the public sector but what I have found us that most members of staff; whether frontline or behind the scenes do have the client's best interests at heart but are bogged down with inefficient systems that cannot compete with private sector, red tape and paperwork and a severe staff shortage. There is disparity between what is expected and what can be delivered humanly within the existing framework.

ian o'connell

21 August 2016 at 16:36

i worked for a major provider of care for people with disabilities.. i was there for almost 3 years. in that time i had to fight to treat people in a decent way. i saw no end of abuse. the kind people go to prison for and the guy kept his job, everyone knew. i even whistle blew and nothing. one member of staff called us the secret winterbourne. if i told you everything that happened i would still be writing next week. i loved my job but hated where i worked. i left 3 months ago after cqc came in and we got a rating of good - an utterly disgraceful place.

Safia Deriche

20 August 2016 at 23:54

Twenty seven years of care and support to the most vulnerable in society taught me a lesson to be learned for all, including me. The more care and support is provided outside of the family environment for a service user, the more heartbreaking and suffering is the quality of care and support found. Home care and support must be the best option for service users to flourish and should be encouraged, rather than thrown away in institutional settings where a colossal amount of monies are currently diverted to, away from service users' own homes and family life.

Lady Iveta, Kurpniece

18 August 2016 at 12:02

I am physically ill in UK since 2004, did not received much of help. But I still can walk and use my arms with great pain, but still. Brain working and minimum benefits.

Tom Ternent

16 August 2016 at 09:56

As a provider working with a Local Authority I can second Ruth M's post (12/8/16). Integration of Health & Social Care is still 'the future' but there are people needing good, properly-funded care now. There is a recruitment crisis for the whole sector - even the National Living Wage didn't help, it simply lifted the floor for all companies. If more money was spent on Home Care to help improve wages (and offer guaranteed work levels), recruitment wouldn't be an issue, and so there would be no waiting list of people needing care either from hospital or other settings. Contracts that ignore travel time for community workers and focus on task and time rather than outcomes are not useful in this modern day of care delivery in the community. It is hard to react to increased demand for hospital discharge when it takes several weeks to recruit (advertise, interview, reference & DBS, Care Certificate training) so it is nigh impossible to react to increased demand, but also impossible to budget for peaks in advance due to squeezed margins through 30% underfunding of Local Authority care (compared with the UKHCA's Minimum Price for Home Care). How many staff would join on the promise of future work that never materialises? An example I have is a gentleman who we supported daily for several years who went into hospital. Upon discharge he needed 2 carers for all of his visits, which unfortunately we couldn't do due to the small team we have in his town. It took over 6 months for a new care provider to be found by the Local Authority; he stayed in hospital the entire time awaiting discharge. If a tiny proportion of the cost of his hospital stay (~£400*180=£72,000) was used creatively we could have recruited the 2nd carer (actually 2-3 staff to cover the whole week) and restarted his care sooner. Simply put: recruitment and retention of staff is hard as it is. One million more Carers needed by 2025? Looks increasingly less possible each year. Proper funding and better terms & conditions for staff gives us a fighting chance.

Total results 23 (page 2 of 3)