responsibilities around adult safeguarding. This would have cost implications for home care providers in releasing staff to attend such training. assessment Carer’s There is no record of any structured or formal assessment of needs Denise’s as a carer, throughout the period under review. When Eva was an in-patient, information leaflets were left on the ward for Denise, but it is not carers’ known whether Denise took these leaflets and read them. Denise was offered support, but the experience of practitioners was that she was difficult to engage with and she generally declined offers of help. Staffing and workload issues District Nurses (DNs) reported there had been severe staff shortages and sickness issues during the period covered by this review, with one DN covering 500+ patients. Some recent improvement was reported, due to an improved recruitment and management structure, but DNs felt they were still working under pressure, due to high case-loads. involved in the case had raised unsafe case-load levels as A Social Worker a formal grievance. It was reported that there has since been some improvement. However, a practitioner view was expressed that social workers dealing with complex / high risk adult cases still have higher caseloads of this nature, compared to Services colleagues Children’s working with comparable risks. Home Care Workers did not feel they had been adequately supported by managers when dealing with higher risk cases. However, they felt there was some recent improvement under a revised management structure which includes managers who have recent front-line experience as HCWs. Deep cleaning services The practitioner group felt that in cases of extreme hygiene problems (including where this presents serious risk to HCWs and other people visiting the property, as well as those living in the property) the option of using a
responsibilities around adult safeguarding. This would have cost implications for home care providers in releasing staff to attend such training. Carer’s assessment There is no record of any structured or formal assessment of Denise’s needs as a carer, throughout the period under review. When Eva was an in-patient, carers’ information leaflets were left on the ward for Denise, but it is not known whether Denise took these leaflets and read them. Denise was offered support, but the experience of practitioners was that she was difficult to engage with and she generally declined offers of help. Staffing and workload issues District Nurses (DNs) reported there had been severe staff shortages and sickness issues during the period covered by this review, with one DN covering 500+ patients. Some recent improvement was reported, due to an improved recruitment and management structure, but DNs felt they were still working under pressure, due to high case-loads. A Social Worker involved in the case had raised unsafe case-load levels as a formal grievance. It was reported that there has since been some improvement. However, a practitioner view was expressed that social workers dealing with complex / high risk adult cases still have higher caseloads of this nature, compared to Children’s Services colleagues working with comparable risks. Home Care Workers did not feel they had been adequately supported by managers when dealing with higher risk cases. However, they felt there was some recent improvement under a revised management structure which includes managers who have recent front-line experience as HCWs. Deep cleaning services The practitioner group felt that in cases of extreme hygiene problems (including where this presents serious risk to HCWs and other people visiting the property, as well as those living in the property) the option of using a
FINAL-EXECSUM-1-2-18v3.docx