Posts Tagged ‘social care’

Social Care TV now online

Tuesday, March 23rd, 2010

scie logoGet the picture with Social Care TV. An online channel for everyone involved in the social care and social work sector.

“Personalisation enables me to do the things that I took for granted for so long. My personal assistants help me to achieve my independence. Managing my own budget means that I can go to concerts, for instance at the English National Opera. I feel like I’m part of the world to which I once belonged.” Stephen Page, on Social Care TV.

It’s not always easy to explain what social care is, and Social Care TV, aims to stimulate debate about the big issues in the sector. Social Care TV programmes bring real world examples to social care staff, managers, commissioners and trainers.

This is the first time that social care has had its own TV service. Films are ‘on demand’ so they can be watched in the workplace, the training room or at home. But there aren’t just films; each web page also includes lots of guidance and advice, multimedia and e-learning resources. Social Care TV can be used as a training and learning tool; it aims to understand the needs of people who use services, by presenting real life stories and linking these to easy-to-use resources, giving staff a better understanding of good practice.

Ann Macfarlane is featured on Social Care TV. Ann now works as a social care consultant but she spent the first twenty-five years of her life in residential settings and hospitals. She says this about the film which shows how she has succeeded to change her life because of personalisation:

“It makes me proud about my achievements. I was brought up in a place where other children were dying in front of me. I didn’t have a childhood and so I feel like I’ve been making up for borrowed time. The film shows that I now live at home, run my own consultancy business and crucially, have choice, voice and control. I’m sure this film will help the workforce to do a better job and understand the role that they have to play.”

The project is run by The Social Care Institute for Excellence and has a number of innovative features. 

• You can watch the films, but you can also download them from the site into presentations for training
• You can watch segments of films. You can go to a specific point of a film to address a key issue in social care practice.
• You can email a film or just a segment of a film to a colleague, making the sharing of good practice very efficient
• Users won’t just see a film on a site. There are useful text and links to specialist areas. 

SCIE Chief Executive Julie Jones says:

“The films bring to life what we do every day in our work. The social care workforce is in for a treat. Along with the accompanying care and support information on the web pages, the films are thought-provoking, interesting and full of strong messages about delivering good quality, personalised social care.”

Watch Social Care TV now

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International workers in social care – critical issues for recruitment and retention

Monday, December 21st, 2009

Carolyn Barber 1New research into the role and contribution of international workers in the adult social care workforce has highlighted many critical issues for recruitment and retention. Carolyn Barber writes about a recent seminar hosted by the Kings College Social Care Workforce Research Unit which showcased emerging findings from a two year national study commissioned by the Department of Health in England.

Within this broad and diverse service sector, the research made some useful distinctions about different groups of international social care recruits.  The GSCC data on the register of social workers identifies over 7,000 (8.8%) as non-UK qualified social workers. Over half of these trained in Australia, South Africa, the US or India.

Within the wider social care workforce, data is much less clear. The research analysed information from the National Minimum Data Set (NMDS ) on just over 5,000 who had their previous jobs abroad and used as a proxy of recently arrived international employees in the sector.  Of this group, workers were most likely to be employed in the private care sector; they were more likely to be male, hold higher levels of qualification, and less likely to hold managerial roles, than other workers.

In-depth interviews with employers, human resource managers and other stakeholders showed that the primary driver for social care employers is not surprisingly staff shortages, and the difficulties experienced in recruiting suitable staff from the local community. And the research indicates that employers get a pretty good deal from international recruits. Perceived attributes are ‘hard working’, ‘highly motivated’ and ‘accepting of pay and conditions’, as well as higher levels of skills, experience and qualifications.  Interestingly these latter advantages were not particularly identified by employers, although apparent from the dataset and the interviewees themselves.  This suggests there’s a more subtle issue at work here – the way in which international care workers are all too often invisible within social care industry discourse.

There is a further distinction made in the research between those international workers recruited from abroad by agencies and employers, and those already living in England looking for work in social care or other jobs through the usual channels.

Nearly 100 international workers were interviewed in depth as part of the research. Motivations to work in social care in England varied inevitably, and suggested patterns according to country of origin.  For those coming from EU countries, the desire to improve language skills figured highly. For Filipino care workers the financial motive was significant. Overarching themes across all nationalities were a positive view of the UK, and a sense of altruism or caring for others as strong drivers.  However there were many disappointing experiences along the way. Most striking was the sense of shock expressed by many international workers, especially social workers, about the poor image of social care in England, and the lack of status as reflected by the workload and pay levels. There were frustrations about the limited training and qualification opportunities, and experiences of feeling deskilled – for example working as care assistants when they were nurses in their home country.  The issue of qualification recognition was raised by many social workers who sometimes said they had a lengthy process to endure to achieve GSCC registration in England.

There were also widespread accounts of bullying, often linked to racism and skin colour. The attitudes and prejudices of service users themselves were highlighted here, with many international workers remaining stoical and accepting in the face of personal abuse.  This raises issues for social care staff and managers generally about how to challenge and work with such behaviour so as to support and encourage an increasingly diverse workforce.

The seminar also featured more in depth discussions from other research studies looking at the experiences of specific groups of international workers: rural domiciliary carers in Cumbria; social workers from Zimbabwe; migrant care workers in Sweden; a local authority induction programme designed as part of an international recruitment drive.  The detailed observations from these speakers illustrated some of the complexities of the broader themes identified in the Social Care Workforce Research Unit study, and highlighted the potential of further research to inform future developments in workforce planning and good employment practices.

The nature of the research design meant that it was not realistic to test out some of the anecdotal concerns commonly circulating about international workers in social care. Issues around potential exploitation by international recruitment agencies, illegal employment, immigration status, and the likely impact of the changes in border controls on the social care workforce, all help create a climate of fear for some and political controversy. However the Unit’s research outcomes provide a meaningful context within which more measured and constructive investigation can take place in the future. 

Useful references:

International Social Care Workers in England: Profile, Motivations, Experiences and Expectations (forthcoming) by Shereen Hussein, Martin Stevens and Jill Manthorpe, Social Care Workforce Research Unit, King’s College, London

Supporting the Recruitment of International Social Workers in the UK: a guide for employers (April 2008), by Keith Brown, Natalie Bates and Steven Keen with contributions from Kathryn Kelly and Douglas Machindaza, Bournemouth University

Social Care Code of Recruitment for International Recruitment – www.sccir.org.uk

The Experiences of International Social Care Workers in the UK: findings from an Online Survey (2009) by Shereen Hussein, Jill Manthorpe and Martin Stevens Access the research 

About the author – Carolyn Barber, BSc (Hons), CQSW, is an independent consultant specialising in research, team development and management skills.  Carolyn has over 25 years experience in social care as practitioner, trainer, researcher and manager, working across public, voluntary and independent sectors. For more information, go to www.wayfinderassociates.co.uk .

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Should dementia training be compulsory for all staff in adult social care?

Friday, December 18th, 2009

merevale house 2Watching the second part of “Can Gerry Robinson fix Dementia Care Homes?” it was painful to acknowledge the vulnerability of people with dementia.  This was balanced by the visionary leadership shown by Anne Fretwell and the commitment of the staff at Merevale House. The home has an inspiring focus on person-centred dementia care and a passion for empowering residents by providing opportunities to live their lives with meaning, dignity and respect.  (photo credit Merevale House)

The issue of inspired and passionate leadership is a challenge for the whole of the care sector. There is an urgent need to develop strategic performance management systems which will drive quality and improve care services. A very clear message from the programme is the importance of education and training for staff. Fortunately there are an increasing number of  accessible and free specialist training resources and my previous post identified a number of online resources. I would also recommend the innovative Social care TV dementia videos

Dr Carol Komaromy, a senior lecturer in health studies and one of the Open University academic advisors to the programme, writes: “People who live in care homes for older people are often hidden from the public view. Coping with the complex care demands of people with dementia requires a high level of skill and compassion and yet carers are often underpaid and the value of what they do remains unrecognised. The programme highlights the need for specialist training and the difference this can make to the experience of living with dementia. It is a sad indictment of society that providing care resources for people with dementia seems to have a low level of priority. More than this, as the series shows, there is so much more that could be done even within limited resources.
“I would argue that a culture of care would need to support paid carers in a direct engagement with the needs of people with dementia and recognise that they are also people with diverse emotional needs who need to feel supported and valued. While it is clearly the case that protocols and resources need to be in place for this to happen, homes need to shift to a culture of care that places people with dementia at the centre. A key element in making this happen is education and training.”

The Open University has produced a free leaflet, Dementia Care: Sustaining The Person Within, to accompany the programmes. It lists the help and support available when making decisions affecting the care of people with dementia and can be ordered through the following link 

The Commission for Social Care Inspection provided the first public benchmark for quality in care homes in what had been a largely unregulated sector. I hope that the Care Quality Commission (CQC) recognises the important role of the care homes inspectorate and provides the resources to strengthen their role and extend their remit. Since staff are the biggest cost and the most vulnerable to cutbacks is it time for a review of the CQC regulatory requirements for staffing and qualifications? An equally urgent question is whether local authorities should refuse to place residents in dementia homes rated as “poor or adequate by the CQC.

In this digital age I believe that all care homes should have internet access for resident and staff. The SCIE get connected investment project for adult social care is distributing £12 million to registered providers of adult social care in England to assist them with their information, communications and technology. They will focus on providers who do not have good access to the internet. The initiative is to allow those who use, visit or work in adult social care services to benefit from the learning, knowledge and access that the internet can bring.

In the next 20 years over a million of us will have dementia, we need a serious debate about our expectations and aspirations for the care which will be provided to one of the most vulnerable groups in society. 

Part Two of “Can Gerry Robinson fix Dementia Care Homes?”  can be seen on BBC iplayer 

Telling Tales About Dementia – Experiences of Caring which is edited by Lucy Whitman explores how it feels when someone clsoe develops dementia? How do you cope with the shock, the stress and the grief? Can you be sure that you and your family will receive the support you need? In Telling Tales About Dementia, thirty carers from different backgrounds and in different circumstances share their experiences of caring for a parent, partner or friend with dementia. They speak from the heart about love and loss: ‘I still find it hard to believe that Alzheimer’s has happened to us,’ writes one contributor, ‘as if we were sent the wrong script.’ The stories told here vividly reflect the tragedy of dementia, the gravity of loss, and instances of unsatisfactory diagnosis, treatment and care. But they contain hope and optimism too: clear indications that the quality of people’s lives can be enhanced by sensitive support services, by improved understanding of the impact of dementia, by recognising the importance of valuing us all as human beings, and by embracing and sustaining the connections between us.

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