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Care assistant staff need more help

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.

A care assistant 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.

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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Mad max 73, join us on http://careworkersconnect.forumotion.co.uk and thanks for spreading the word.

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Magdala - 17-Jul-11 16:30 

i have just read the above script and it hurts to say how very true it is, i myself am a care assistant in an emi home. i love my job and i care about the people i look after. i do have to say at times, i do feel help less, as i want to spend more time with the people i care for, but i am never have the time, my ratio at times is 14 to 1 or 2 to 16, either way, for me this is not the correct ratio. for carers or residents. where i work, me and my colleagues work together and do our up most to provide the care we need to, to each and everyone of our residents, we do our job because we care, we ask our management for training on all aspects to help us, help our residents, we give up our spare time to attend and do our own research, we learn all we can about our residents, for us to be able to realte and understand our job. it upsets me though as we dont have the time we want as carers to spend with our residents. is it really to much to ask of anyone to give nursing homes more staff to be able to enjoy there job more and support and respect our residents. with what some people are paying to stay in homes i am sure more staff can be afforded. carers are not paid a great wage and i do not mind that i earn little as i love my work, i would actually share my wage if would be enough to employ one more person to care. some people we care for have fought for us to be where we are today and without them the world would be a very different place, we owe the older generation our lifes, literally. how can anyone not care, these people do not ask to struck with this cruel desease, nor do they deserve to be. how can any one not feel a tug on there heart when they here the storys on the news of residents suffering, it would be nice if enough people cared enough to make a difference, when is it ever going to change? the time should be now, i was always brought up to respect my elders, my job is doing just that.

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mad max 73 - 16-Jul-11 20:12 

I totally agree Humble, it makes me sad to think that these people are allowed to continue in a state of torment, dirty, hungry and miserable because of someone in a glass fronted office has decided to make a hoo ha about the chemical coshh. If someone were left in physical pain because they weren't offered pain relief we'd be strung up. I'm not talking about anti-psychotic drugs prescribed willie nilly (that is wrong) but mild sedatives. If the 'powers that be' are going to accept minimum staffing levels that stretch employees beyond the limit and the resulting poor care then they must take responsibility for it - not the grass roots workers. I would urge everyone in the job to speak to Miss O'Connor (you can find her email address in earlier posts in this thread) the only way we are going to get change is to fight for ourselves and the people we care for,

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anon - 26-May-11 22:39 

Hi there Anon.. Your're so right. I feel that human rights are infringed by NOT giving sedation to some people quite frankly. A lot of the people that I deal with are in torment every day and there is no one on earth that would choose this for themselves or their family.. I agree with you.. someone, somewhere is sitting in an office far away making stupid decisions! and now Our latest training tells us that we must resucitate anyone that we find dead unless they have the lilac form and the person doing cpr must carry on until they SEE the form... I am speechless (almost) about this.. these people spend most nights going to bed praying to not wake up in the morning! But the logistics of getting all this paperwork together and reviewed and re signed by 4 signatures every 6 months is horrendous! The world is indeed getting stupider by the minute!

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humble - 25-May-11 08:25 

If you google care assistants and poor pay conditions on the internet barely anything comes up except for a list of jobs and a few newspaper articles. Its almost as if anything posted by care assistants about the care system is either removed or witheld from search on google.

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annoyed - 23-May-11 08:15 

Humble - I'm not surprised at all. I worked in EMI and although it kind of comes with the territory - aggressive behavior, I have had scalds from tea (apparently it's against human rights to give someone a cooler cup of tea, unless they will harm themselves with it. If it's you it ends up down then that's just tough - managers words not mine), I have a scar on my arm from someones fingernails, I've had my lip split and nose bloodied and my hair pulled out. All this on a regular basis - with no back up from management or other health professionals - for trying to do my job which is to care for someone. And for the minimum wage. Society goes all up in arms about elderly neglect - or the so called chemical coshh (sedating someone because of 'challenging behavior so they are easier to care for) but just how are you supposed to keep someone clean, tidy, fed and watered when they don't want to be and you have no time to talk to them and persuade them gently and calmly?

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anon - 20-May-11 19:18 

The progressively aggressive behaviour from residents is a frightening fact in current care assistant work and should be taken into account when rotas are planned. It's a hard job at the best of times but is getting harder and harder with each year. I am fed up with being abused by my manager by demanding the same amount of care to be delivered but lower levels of staff on duty.. and the ever accelerating amount of abuse I receive from residents. ( You may be surprised or not to know that I work with the elderly). I have now lost all faith in being able to deliver a good standard of quality care and am actively looking for another job.... after 17 years in a job that I used to love :(

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humble - 19-May-11 16:49 

Annoyed, please see below miss s.o.connor post. I am preparing something for her, and I hope more of us will exploit this unexpected chance. She gives more details if contacted directly.
If you really need to stay anonymous, set up a special e-mail addres just for her.
I have reached a very low point! It is true, once off duty I feel wrenched and empty and I hear the anger in my colleagues, but many have kids, mortgages and basic needs and dare not jeopardize the crumbs this job offers.

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Magdala - 18-May-11 10:42 

Why are the government not addressing understaffing and abismal pay conditions within private care residential care homes? There must be thousands of disgruntled care staff in the UK who , like me, feel so overworked that it leaves you with nothing left to give once you are off duty. There is barely anything on the internet about these disgruntled staff though. Maybe they are too dog tired to air their complaints once off duty. The government needs to realise that looking after these people requires a certain amount of skill and patience. Why should the person who picks up dog poo in the local park be paid more than we are? We look after people who are under social services and are vulnerable.

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annoyed - 17-May-11 05:59 

It is not assisted accomodation or shelter. Most of the people within the residential home I work at need full support with all aspects of daily living and have either severe and/or profound and multiple learning disabilities. A large percentage also have additional medical problems on top of that.

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annoyed - 17-May-11 05:53 

Because as a support worker you would have to be paid more? Or perhaps it depends on the type of home/assisted accomodation/shelter. A friend of mine was in a similar position and was classified as care assistant. She had to do chores for the clients. Her husband worked in a social housing compound for distressed youngsters and was called support worker. He supervised these youngsters whilst they went about their activities.

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Magdala - 14-May-11 07:23 

I work in a private residential home doing 12 hour shifts. Its 95% adults with learning disability ranging from 20 years upwards. Our residents have autism, downs syndrome, cerebral palsy, and much more. The other 5% of the residents are elderly with no learning disability. My job title is care assistant and as such I am paid minimum wage of just £5.93 ph. My job title should be support worker and I should be paid accordingly as I am not simply looking after elderly and bottom wiping/feeding. We deal with challenging behaviour from STRONG young adults on a daily basis, help teach daily living skills, take them out 5 residents at a time, often assisted by just one carer. Does anyone know why my job title is care assistant and not support worker??

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annoyed - 13-May-11 13:09 

I understood that the legal ratio is 1 carer to 7 clients. However ,under CQC policies, being understaffed is seen as abuse/neglect. Not that CQC ever remembers it. As for CQC's usefulness, let me laugh out loud now. I did contact them once, and they found everything OK. Had they questioned the staff on duty, they would have discovered a new employee who still had not had her CBR cleared working with an agency staff on her very first day of work in her young life. Her training? All to come in the following weeks... There's CQC for Miss O'Connor.

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Magdala - 6-May-11 11:43 

Hello, I'm not sure if anyone is still reading this comment feed, but I'm a journalist at a national newspaper investigating the care home sector. It seems most outsiders don't realise that most people who work in homes are doing their best with budgets, pay and staff levels that are too low, as many of you have said. If any of you would like to talk to me about your experiences (anonomously would be fine) please email me. Thanks.

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miss.s.oconnor@gmail.com - 14-Apr-11 12:37 

Hello, I'm not sure if anyone is still reading this comment feed, but I'm a journalist at a national newspaper investigating the care home sector. It seems most outsiders don't realise that most people who work in homes are doing their best with budgets, pay and staff levels that are too low, as many of you have said. If any of you would like to talk to me about your experiences (anonomously would be fine) please email me. Thanks.

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miss.s.oconnor@gmail.com - 14-Apr-11 10:42 

hello :) my elderly nursing and dementia home is a 60 bed home. The unit im on has 16 beds, 14 currently taken. I was working alone today from 14:30 until 21:30. Is this even legal? all I know is that I was exhausted by the end of the shift. Im not really sure what to do as the manager is away sick and the regional manager knows of the situation. Any advice would be great thanks

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MissT - 20-Mar-11 22:40 

I work in a home with 40 residents. We are supposed to have 5 staff in the mornings and 4 in the afternoons but this does not often happen due to staff illness, or annual leave not being covered, or maternity leave, or some reason or another. I feel at the end of my tether. More and more I am asked to be quicker and do more - such as kitchen work as there is no one in the kitchen in the afternoons! Last night I was on duty in charge of 24 people and my partner this weekend is pregnant and therefore unable to do manual handling. I had one lady ill and in tears at one end of the house, 3 very confused walking into other rooms and walking off with my equipment or other property, loads needing toileting, 2 wanting baths, 1 needing hoisting, the bell constantly ringing, the list goes on, and suddenly by 9.30pm the rest of the staff had gone home leaving just me and a senior! I feel wrecked today having slept really badly because I feel awful that I had to deliver such bad quality of care. I keep thinking that I must find another job or go mad with the stress, but I love my job! It's not fair. It's long past time that our job should be recognised as an honour and of value to society. After all, these people all lived through at least 1 war, they deserve the recognition too.

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Humble - 27-Feb-11 12:15 

Cat, I'm not sure of the current regulations regarding emi residential/nursing clients and staff ratios - check out the CQC website or contact them anonymously for advice. Your local social services may be able to help too regarding this. However something you have to consider is that this may have been an unavoidable and isolated incident - for instance if someone called in sick or didn't turn up for work then they will be on the rota and that will show that provision had been made to care adequately for the clients but there was a problem. If there was no one to cover the shift and all avenues were exhausted (agencies, bank staff, senior staff etc) then I'm not sure how much they could do. It's not right and more often than not it's been planned that way or agencies are deemed to expensive but it is blamed on unforseen circumstances.

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anon - 19-Feb-11 18:48 

Can someone answer me please as I need to know If it is legal for two staff to look after 47 residents in residential borderline nursing and emi

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Cat - 19-Feb-11 18:32 

I work in laurel bank care home with 47 residents and had to work with two staff on at night shift from 9:30pm till 7:30am it is residential borderline emi nursing is this legal

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Cat - 19-Feb-11 18:21 

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