Improving Enforcement in Adult Care Homes

Another week, another consultation.  The Department for Business, Innovation and Skills (DBIS) are holding a review of regulatory enforcement in the adult social care sector.  The website says:

In this review, we are asking anyone involved or interested in the adult care home sector to let us know their views and experiences on how current enforcement of regulation in this sector is working. This is part of an initiative to drive up standards and enable providers to achieve the highest standards of care, while removing confusing bureaucratic requirements that divert carers from meeting the needs of residents.

Cooperation and coercion

In 1948 we abolished the Poor Law, requiring people to support their relatives on their own or face “indoor relief”, but you wouldn’t realise it talking to many carers. I have lost count of the number of times I have met – or heard of – carers who believe they have a stark choice: either continue to provide care that is draining your own health and reserves, or your loved one will be removed from the home and placed in residential care. I have met carers who provide support virtually round the clock who just need a little more support to keep going – perhaps a few more hours a week, perhaps a holiday once a year – who have been given the impression that if they ask for more help, if they make a fuss, they will be recorded as “unable to cope” and their loved one will be removed. Or, even sadder still, carers who have given up begging for vital support and who feel the only option available to them now is to give up their caring role altogether and concede that they cannot cope.