Manager – “When do I get a supervision?”

Hello again dear reader I hope the past week has been a good one with plenty of opportunity and positive well-being for all.

So week 3 of these blogs brings me to a topic that has become very familiar in discussions but not so familiar when asking a manager “has yours been done or not?”

What am I talking about well I am talking about “Supervision and Appraisal” specifically for Care Home/Provider Managers and their management team.

I have had lots of experience over the years of working with care providers both residential and domiciliary and have often audited and monitored their supervision, appraisal and development of the staffing team. Now undertaking these audits normally show that the home and/or service is on top of employment supervision/development with all staff being supported with scheduled supervisions and annual appraisals, all written and recorded for inspectors to see on nicely defined matrices.

“HOWEVER” something that I have experienced a lot in my working and has again cropped up this week with a client is, who undertakes the supervision and appraisal of the manager and the management team in charge at the home/service.

“OFTEN” have I found that managers have been left to arrange their own supervisions with responsible persons/owners and if this gets forgotten about or through all the work that goes into being a manager it happens to be put on the back-burner it is left and the manager goes for months even years without their own supervision and/or development being appraised by the home/service owner.

Now in extreme cases, including a recent residential home turnaround project I have been involved, what happens is the standard of the home/service drops and due to not carrying out regular supervision/appraisals of the manager in charge the responsible person/owner only finds out about issues when they are at critical stage.

As an associate member of the Chartered Management Institute I advocate wholeheartedly in holding regular supervisions and appraisals with managers of home/services to ensure that management development is high on your agenda as well as moving to resolve issues that may occur at a low/local level before becoming critical.

I hope this blog has nudged you if your or your managers supervision is long overdue

And indeed if you feel that this is something that you need assistance with or would like to discuss the possibility of assistance then please get in touch with myself and I would be more than happy to offer VCS  supervision/appraisal supports.

As always please feel free to leave a comment and our experience on this subject and till next blog take care,

Stephen

 

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Covert medication & DoLS

Well week 2 into this new weekly blog, oh how that week has flown by dear reader!

So this weeks interesting issue that was discussed at length was all about ‘Covert Medication’ and the implications of ‘Deprivation of Liberty Safeguards’ (DoLS).

Now before I start I have to state I am not an authority on this subject and will always state in all things DoLS –

“If in doubt ALWAYS contact your local DoLS team for clarification on the issue presenting”

and for those reading who deliver support with DoLS and/or the Mental Capacity Act involved will understand there are still a myriad of grey areas when it comes to this subject – “what is and what isn’t” – what I hope to provide in this blog is the benefit of the advice I give, have gained and some pointers for you to consider.

The question that started the whole discussion off was:

Do I need a DoLS for administering covert medication where the person involved lacks capacity?

I must admit my first response was “If it is covert and the person involved lacks capacity to understand the reasons/action taken even after formal support to understand and fully retain the information, then the answer would be YES!”

However it then got me thinking was I fully right in that assumption so I gathered some further information asked a few close connections with further insights into DoLS and MCA and was able to reach the following conclusion.

You do indeed need a DoLS for administering covert medication when the covert medication is either used as a controlling and/or sedative medication.

For those medications that are NOT classed as controlling and/or a sedative then a ‘Best Interest’ meeting and agreement should be used in conjunction with a GP or Pharmacist sign off

So how did I arrive at those statement. Well after consulting the Mental Capacity Act 2005 which includes the Deprivation of Liberty Safeguards and checking with the current advice listed on the NICE guidelines for managing medications in care homes – link, as well as my connections in conversation it was semi-clear the difference between needing (DoLS authorisation) and not needing (Agreed Best Interest) lies in the nature of the medication and what it was being prescribed for.  

And to put it in a form of a flow chart was the best way I could then let the care homes I am working with understand my finding:

Covert_medication_DoLS

Finally I must refer again to the statement made earlier in the blog –

If in doubt contact your local DoLS team for clarification on covert medication issue!

So there goes week 2 of these blogs I hope again this has either assisted you or got you thinking about the subject and with all my blogs I welcome your comments on the subject matter and/or blogs you wish to see in the future.

I thank you for reading and till the next blog, take care

Stephen

MPLC Movie Licence for Care Homes

As described here is the 1st in the list of Valued Care Solutions weekly blogs highlighting an area or issue I have encountered during my working week.

And the honour of the 1st blog goes to The Motion Picture Licensing Company (MPLC)  and a care homes need for having a licence to show DVD’s and downloads of films which have been bought or rented for the homes use as detailed within the Copyright, Designs and Patents Act 1988.

This came about following a recent visit to a care home who asked the question to myself

“Do we need to have this licence? as we only ever show films in a communal lounge and its their home after all”.

Simple answer to this one was YES however as with everything that you are certain of you have that little feeling deep in the recesses of your brain that says

“Are you sure, I mean really sure”

So I contacted the very helpful MPLC who where more than happy to assist and give their confirmation of the need for all care and nursing homes to have a licence to show films within the communal areas giving me the following FAQ information:

Q: Is a communal lounge area in a care home not a domestic, home environment?

A: No. There are a number of factors that dictate that a screening of a film in a care or nursing home is a public screening for the purposes of the Act and include:

  • Residents normally do not have a domestic or private relationship with each other. They do not live in the same residence because they are part of the same family or have private ties.
  • Residents are in the scheme independently from each other. Each resident is there as an individual member of the public to benefit from services offered by the scheme.
  • Residents pay for their accommodation and included within the price are various benefits offered by the scheme, which include communal activities that are available, such as the screening of film. Showing a film in a communal lounge of a scheme is an additional activity offered at the scheme.
  • Generally the audience in the communal lounge comprise of people who may not normally choose to watch film together.
  • Generally the size of the audience would be much larger than a normal domestic situation.

Whilst I was speaking to the MPLC I also asked about what would it mean for a care home if they decided to ignore the licence and carry on their practice and the answer was very interesting indeed:

Q: What are the penalties for screening films without the licence?

A: The Copyright, Designs and Patents Act in §107 prescribes damages for infringement of copyright that may subject you to substantial fines and penalties, including criminal penalties of up to a £5,000 fine and/or up to six months imprisonment. In addition, Section 97(2) of the act allows the court to consider the flagrancy of the infringement and any benefit, in order to award additional damages.

So do you as a manager, your activities coordinator or any of your staff use DVD’s and downloads of films as part of the residents activities programme in your home?

If the answer is yes then I would suggest a quick telephone call  or email to the MPLC to support your home and ensure you are compliant with the law:

Q: How can I contact MPLC?

e: healthcareuk@mplc.com

t: 01323 432163

w: www.mplcuk.com

Thank you for taking the time to read the 1st in this series of weekly blogs and I would finally like to thank David Taylor from MPLC for the use of information and links contained within this blog.

Take care till the next blog!

Stephen

 

New Weekly Blog

I have been pondering for a while now about writing a little weekly blog just highlighting one of the main issues and/or interesting things that I come across during my working week.

From all the work I undertake with different providers in health and social care I get asked and come across many different and very varied topics/issues whilst supporting businesses in the sector.

Often from being at one client in a locality and coming across a certain problem I have been able to call upon an outcome/action previously used with another client in a different locality or been able to use that issue to highlight good practice to other clients further down the line.

Also many a time I have had little conversations with services and managers about these issues whilst I am visiting or speaking to them, only to be met with:

“You know if you hadn’t pointed that out I would have never known, thank you”

These blogs moving forward will be an extension of those conversations and hopefully on occasion I will be able to provide some good practice for others to take into their supports or indeed spark a little debate or conversation on how other providers have solved issues that are spoken about on here.

So here we go, lets hope that it becomes beneficial to all that read and opens up new good practice and positive conversations across the health and social care sector.

As always would love your comments and or topic headers should you wish,

Take care, till next blog!

Stephen