Care assistant staff need more help
04-July-2009
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Care assistant staff need more help

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Why are care assistants and nurses always blamed for poor care in residential care homes, when most of the time the bad care is delivered because the owners of these private homes do not provide enough staff, equipment and resources to enable the best care possible?  After all how many care assistants do you see driving around in posh cars and taking four foreign holidays a year?  Not many at all, of that I can assure you!

These residential homes are often severely short staffed putting extra pressure on the people who work there, this in turn impacts on the lives of the clients.  The care assistants who work under these conditions all pull together as a team, often working long hours through unpaid breaks and double shifts etc.  This results in high sickness levels, but most care home owners refuse to sanction the use of agency staff because it costs too much!

Clients are often not placed in the best environment to care for them because of funding issues.  For instance when a client deteriorates and requires more care from a specific skill set (i.e. nursing care or dementia care), it takes weeks or months to set the wheels in motion to assess and obtain funding.  Meanwhile, the client concerned isn't getting the care they need and deserve.  When the needs of the clients aren't met because of these issues, the staff on the front line usually have to shoulder the responsibility and at a time when they are only doing the best they can in a very difficult situation.

Care should not be a profitable business and I think that owners and managers should not be allowed to take uncapped profits from the business whilst clients are getting poor quality food, little or no social activity, poor decoration of their homes and care assistants and nurses that are so busy that all they seem to say is "I will, in a minute when I can" when a resident asks for something.

Our elders deserve to be cared for properly by correctly trained staff, in a nice environment, with good food, entertainment and adequate equipment to meet their needs.  Today I witnessed a carer hit about the face, her lip split, hair pulled, kicked and punched because she was trying to assist a client who had soiled themselves and was too confused to realise the carer was trying to help.  The carer reported it to the manager who replied "All part of the job love" and walked away.  That carer had a salary barely meeting minimum wage whilst the manager was on at least 30 grand a year.  The carer also did not have training required to deal with that kind of behaviour and the incident left both parties very upset with no back up or support.

A care assistant

The whole system is poor and it needs a complete overhaul.  With rates for care ranging from £300 per week to nearly £900 a week, why isn't someone looking out for the people who pay for care and ensuring that the majority of the money goes to the right place.  That money should be used to provide good food, the right training for staff to deal with different needs, a level of staffing where clients can be treated individually as they are supposed to be and the equipment to meet their needs properly.  Instead, we have to make do and mend whilst the money goes into the pockets of business men who are only in it to make a quick profit.

Oh yes, there are regulating bodies but how much can they actually see with only two visits a year - one of which is planned?


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The manager described in your post deserves to be sacked for such an appalling attitude. Any creep who believes that physical abuse is "all part of the job" is not fit to run any undertaking, let alone one dealing with some of the most vunerable members of society.

However, private enterprise is run for a profit and whilst Governments allow care homes, schools, hospitals and even prisons to be run by the private sector then you will always have these vultures around.
*Congo  18-Feb-2009 12:28

 
I run a small training company providing English language classes for overseas care stazff in homes and domiciliary care, so I know how much these staff give and how little reward they get. It is not just in financial terms either; if managers would only give more in the way of appreciation and also make more effort to treat their staff as part of the team they could do a lot to raise morale. We sometimes find that the Englsih class is the one opportunity to let off steam about how unappreciated they are! I MUST add that there are certain homes where this is not the case and where foreign staff are appreciated and treated like the professional, caring individuals they are.
*Gill  18-Feb-2009 12:13

 
Well, it just goes to show that with only 8 comments, where homes for the elderly rate in society doesn't it? Nothing will ever change because no no one really cares about it, despite what they may say, as long as the people who need the care aren't seen then society can assume that they don't exist. Bad Show.
*Anon  12-Feb-2009 00:01

 
P.S, I do or shall I say did start working here as a temporary job till I qualified in a trade and I did love it. I give and used to give as much of my time to a patient as possible.

With staff cuts taking effect around the NHS, staff and visitors being charged extortionate amounts to park, staff and visitor meals being overpriced, you have to ask yourself where this money is actually going. It is clear though that staff morale and patience is going down the drain.
*Chris.  04-Jan-2009 03:02

 
Finally, I would never be able to word a gripe very well at all. I'm a male support worker for one of the newest, biggest and supposedly best hospitals in the midlands. Staff are forever moaning to one another and higher management, but nothing is done. I work on a ward with 48 beds, split into 4 areas of 12 beds.

All our patients around this time of year are elderly patients shifted from nursing homes and their family homes because they want a break....all care and regularly incontinent, always medical patients instead of the surgicals our ward SHOULD be specialising in.

In each area there is only 1 nurse, usually busy having to make up the IV antibiotics or drips, writing out their reports on each patient for the day, having to walk around with doctors and dispensing alloted drugs...all of this 3 times a shift....heaven forbid they have a very poorly patient that requires their attention every10minutes.

Then there is the other member to this duo, a support worker, I have to take blood pressure readings 3 times a shift..36 times in total of about 5 mins per patient at each sitting, washing every patient, feeding nearly every patient, tending to catheters and having to change each patient atleast 4 times a day.

Given one patient change will require 2 staff and about 6 - 10mins....you can see where I was heading with this. It is as you say, understaffed, underpaid, overworked and facing the possibility of disciplinary action should you recieve a complaint.
*Chris.  04-Jan-2009 02:56

 
Until the governments agree to minimum staffing levels..nothing will change for both the carers and their clients.
I worked in an aged care hostel where it was the norm to try to look after 20 clients, plus more if another carer or other staff were away. In the facility at one time, we had five staff on work cover and still no replacements. The company has been sued twice and yet nothing changes.
*Lynne  29-Dec-2008 05:32

 
My gran ended up in a care home, my brother and I didn't want that to happen but that is another story; the place she went to was awful though and there was nothing I could do about it.
*Ray E  23-Dec-2008 03:12

 
A similar point can be made for domicilliary care workers but what must not be forgotten is they work long hours for very low pay, this leads to great difficulty in recruiting. The otherside of that coin is if you pay better you attract the wrong sort of peolple to what is really a vocation.tricky for those of us needing to rely on carers most of which are excellent. The lack of people willing to be carers means those in the job become even more put upon as our population ages the problem will increase. Carers certainly deserve more money but local authorities won't pay it particularly conservative ones. It has to be said, wealthier people can deal direct with care providers and pay them more if they choose those on benefit have no such option even though they do contribute to the cost of their care through their meagre disability benefits.
*Mike  19-Dec-2008 20:01

 
I think most care homes are rubbish, My great Auntie was in one fora short time, and ended her days there. I noticed a huge deterioration in her very rapidly, but who can be surprised? There were to few staff to care for, and entertain the residents. All they do is plop them in front of the TV, in a room about 40 degrees centigrade, so they all fall asleep. No wonder they all slip downhill so fast with no conversation, or brain stimulation. To be fair, the taf were good, but they couldn't really dedicate enough time to any one person, and you culd see they wanted to. It's a rea shame, most staff are so caring, but there just aren't enough to go round.
*MissusHilly  17-Dec-2008 15:42


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