. . . and out comes care?
I once met a care home owner who was very angry with his residents. He had put on a fireworks display for their entertainment and was surprised when none of them wanted to turn out to watch it. It had not occurred to him to consult before buying the fireworks and, predictably if only metaphorically, he got his fingers burnt. I hope that this unhappy experience taught him something about talking with consumers, but there is another lesson to be drawn from the story. When he was asked, on the occasion of the next inspection, about the home’s social activities, was the fireworks evening quoted as part of the home’s social programme? If so, I hope the inspector was sharp enough to follow through and ask what had been the outcome of the initiative. Though the relationship of inputs to outcomes is rarely quite so straight-forward as in that story, both the Department of Health and the Commission for Social Care Inspection (CSCI) have recently been talking a great deal about the outcomes of social care interventions