Muddy waters

Posted on July 1st, by editor in Caring Times. No Comments

David Pratt reflects on the troubled issue of care home status – are the rules counter-productive? Three years ago, as an owner of a residential care home, I wrote a plea for recognition of the residential home’s place in dementia care (Journal of Dementia Care, October 1996). Since that time, a newly-qualified doctor wrote an ill-considered letter, acted upon by the Social Services Inspectorate, and presto! – we had to become dual-registered as a mental nursing elderly mentally infirm (EMI) residential home. Residential clients, now that they could be assessed by a Registered Mental Nurse (RMN) for the first time, were judged as requiring “nursing”. Social Services disagreed and a year later not all our clients were paid for at nursing fee rates. But they did get the care they required. How is it that a lay committee or local care manager can veto clinical judgements? Our home would have become all nursing beds if it were not that a few of our bedrooms, built to residential criteria, were too small to meet

Comments are closed.

Latest blog posts

Shuffling to some purpose – or just fancy footwork?

By guest blogger JEF SMITH

Spare a thought if you will for the hard pressed people who have to update government information. Well into 2018, for...

Life support for the NHS

By Caring Times editor GEOFF HODGSON

To outline a comprehensive remedy for the ongoing and worsening woes of the beleaguered NHS would take a little more...

A flight of festive fancy

By Caring Times editor GEOFF HODGSON

Christmas Past: It’s cold outside but inside the care home the star atop the tree beams its rays of hope...