June 26, 2014 -- Able Newsflash No.430

Care News

Comment: In the 1990's when the NHS and Community Care Act was introduced, national standards were not available. The result was that each Council brought in their own specifications for domiciliary care organisations who wished to be placed on each Council's Approved List. Able Community Care managed to become Approved Providers with 52 Councils. The work involved, the duplication and the financial costs were substantial.

When the Commission for Social Care Inspection (CSCI) came into being with one set of standards on a nationwide basis, care organisations breathed a sigh of relief. Scotland and Wales then brought in their own specifications but this was manageable. The CSCI was replaced by CQC (Care Quality Commission) who were to continue the inspection and regulation in England.

However, there is a clear dissatisfaction that has crept in on the current regulation and inspection system as demonstrated by an increasing number of County Councils. Once again, Councils are expecting care organisations to be subjected to further, individual council specifications, basically going back to the same situation of the 1990's.

Is it that our English national standards are not deemed to be fit for purpose, if so, should they be revised if is it necessary? If they are deemed to be fit for purpose, why are the Councils bringing in this additional level of specification?

For nationwide care organisations such as Able Community Care, to have to go through the individual processes again will undoubtedly increase the cost of care packages and give speculation as to why we are regulated by CQC, an organisation we have to contribute to financially.


WHO (World Health Organisation) calls on countries to raise taxes on tobacco to encourage users to stop and prevent other people from becoming addicted to tobacco. Based on 2012 data, WHO estimates that by increasing tobacco taxes by 50%, all countries would reduce the number of smokers by 49 million within the next 3 years and ultimately save 11 million lives.

Today, every 6 seconds someone dies from tobacco use. Tobacco kills up to half of its users. It also incurs considerable costs for families, businesses and governments. Treating tobacco-related diseases like cancer and heart disease is expensive and as tobacco-related disease and death often strikes people in the prime of their working lives, productivity and incomes fall.

Question of the Week

"I have a disabled brother who I feel needs help in his life, knowing what he is entitled to, to have someone to explain various services available to him to help him, make choices and deal with things that he finds difficult to handle. I live overseas and therefore not able to assist him. His neighbour mentioned he could get an advocate to help him. Could you let me have more details of what an advocate can do and how do I get one for him."

Answer : The Office for Disability Issues has a 16 page booklet that you can download which explains how independent advocates can help disabled people. It can be downloaded as a PDF from: odi.dwp.gov.uk/docs/res/iar/iar-exec-summary-easy.pdf

You do not mention in which area your brother lives but if you go to Google and put in independent advocacy and the County he lives in, contact details in the area will come up.

Summer Tip of the Week

When buying Summer sandals for arthritic feet they need to be chosen carefully. www.arthritistoday.org/what-you-can-do is a web site which gives good guidance. One point the web site makes is avoid buying sandals and shoes that can be bent in half, from toe to heel. They will not provide the support a person needs.

In-House News

Potential clients were visited in Essex, Wales, Lancashire and Derbyshire.

Four potential live-in care workers were intereviewed and from previous interviews two new care workers were accepted on the Register. New live-in care posts have commenced in:

A story we placed on Linkedin last week: A terminally ill client in a care home wished to spend her last weeks in her own home. The care home and Able Community Care worked together to achieve her wish. Gladys died at home yesterday. She had enjoyed her last four weeks in her own home. with a live-in care worker and with the support of the local health professionals.

Interesting Information/Statistics

100 million older people around the world are living on less than 60p a day.
(Source: Age International)

More than 70,000 knee replacements are carried out in England and Wales each year, and the number is rising. Most people who have a total knee replacement are over 65.

Client Profile of the Week

Beryl and her family first came to Able Community Care in 2008 for respite care. Beryl had the onset of dementia but needed additional care other than family care as she had recently had a hip replacement operation. In 2012 the family decided that as Beryl had become more frail and needed help with all tasks domestic and help with all personal care, that a continuous, live-in care package should begin.

Beryl has received total care since then and has two rotational, live in care workers.


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Best Wishes,
Angela Gifford, Director
Able Community Care Ltd.
Telephone 01603 764567