Do unto others

Posted on June 17th, by geoff in Caring Times head, CT blog. 2 comments

By Geoff Hodgson

A press release came in last week which began “Nursing homes throughout Worcestershire are set to benefit from the rollout of a Care Homes Quality Dashboard, developed by NHS Arden Commissioning Support, to monitor, manage and improve standards of care.”

A few questioning emails established that:

  • – nursing home operators had not been involved or consulted in the development of the ‘dashboard’
  • – nursing homes will be contractually obliged to use the ‘dashboard’
  • – while there was one testimonial from an apparently happy nursing home owner on the NHS Arden Commissioning Support website, the East Midlands Care Association says its members are finding it to be a “struggle, hard work and time consuming”.

This is yet another example of what care home operators have long complained about – of having things ‘done to’ them, as opposed to things being done in consultation with them. ‘Do unto others without asking them first’ may as well be the public service motto.

The arrogance of these people is awesome. Who are they? They seem to be living in a different world. Just a couple of months after the Joseph Rowntree Foundation released its report “Is excessive paperwork in care homes undermining care for older people”, a bunch of former NHS apparatchiks in Worcestershire dump yet another bureaucratic burden on beleaguered care providers.

Rakesh Kotecha, the East Midlands Care Association director for Worcester and owner of a home in Bromsgrove, sums it up: “A few managers and owners felt that the information gathered and displayed would help them understand the business, but the majority felt that it was yet another hurdle that the industry would have to jump for no additional money. “Everyone felt that this was something that, despite how weary they felt, they just had to get on with it.”


  • – The CT Blog is written in a personal capacity – comments and opinions expressed are not necessarily endorsed or supported by Caring Times.

2 responses to “Do unto others”

  1. John Burton says:

    The proprietors and managers should get together and ask the following two questions:
    1. Of Arden Commissioning Support (good name!) – what would you like us to stop doing to release time to fiddle with your ridiculous ‘dashboard’?
    2. Of CQC – we thought that you were going to put a stop to this duplication of auditing. So, what are you (CQC) going to say to Arden Commissioning Support about this?

    And, then for God’s sake, stick together – or go on putting up with ignorant bullies who have nothing better to do than invent tricks for you to perform.

  2. Effective integration for the most vulnerable requires decision making pathways with robust multidisciplinary and interagency working –it is clear that future policy will need to demand drive collaboration and co operation among the sector to prevent this duplication- and this includes the regulating authorities.

    There seems to be a heightened sense of a blame culture that may emanate from the Mid Staffs Inquiry and report where regulators and safeguarding authorities are trying to be vigilant at the expense of the effect on the service user- duplication as we know takes the manager away from her necessary leadership role to deliver for the resident/service user. As John rightly points out from the JRF study Feb 2014 the ridiculous focus on duplication of paper work by people who don’t understand the sector and its requirements preventing the focus on delivery of client focused person centred outcomes, based on what they want to experience.
    It surely is time for everyone to use client focused outcomes driven from a bottom up approach across the care pathway. This approach should be used equally by commissioning, regulation, safeguarding as well as providers to enable a transparent and clear message for the confused public. This would soon put a stop to unnecessary waste and duplication for the tax payer’s purse and the money could be put instead into funding resources needed in ‘social care’ to deliver quality care. This should be underpinned and demonstrate transparency and equity across the care pathway as is afforded the NHS – after all ‘social care’ settings are now dealing with the most complex socio-health needs in the community. They need to ‘ up’ the health part without feeling paranoid about a medical model taking over.
    We need true integration not just empty words – health does social care badly and it is social care that frequently get health needs wrong and needs further equipping. Focusing on the service user experience is more likely to enable a more integrated and holistic service – we must move out of the dark ages of ‘us and them’ and see the mad world from the user perspective.
    Rosemary Hurtley 1 7 14

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