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





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