I have just read this in Nursing Times.net.
It states that registered managers are missing from 1,000 care homes. I can understand this as you must be a masochist to take on this momentous task.
No longer are care managers able to operate hands on care - for they are bogged now with mandatory paperwork! Duplication is the name of the game! Local authorities now demand the same paperwork (if not more) than the CQC and do their own inspections.
This must be in place and that must be in place for innumerable agencies! Risk assessments are there for everything, including possible toxic vapours from photocopiers!
Local authorities now demand their own induction for new starters! Managers must now sign off over a hundred and twenty questions relating to the care that new carers and nurses provide. Nurses must now state on Mar Charts why they administer analgesia, anti-emetics, meds for constipation and creams! I don't know - why do we?
There are so many mandatory training requirements - that you need to employ more staff than the home needs - purely to cover staff that are attending training. Staff are so dazed with all these training requirements that they cease to listen - they are tired of it! I am! I truly believe that repetitive training videos are a sure fire cure for insomnia - as I certainly fight sleep! Doctors - pick up on this!
Employment laws now mean that carers or nurses who don't care, can no longer have their employment terminated - unless gross misconduct is involved. Their rights are paramount and stuff the residents! I would think that a caring attitude is essential in these roles - but not so!
It is well recognised that some of those newly pregnant seek out roles in care. They declare their pregnancy not long after starting and the law entitles them to 'soft options' and their fellow carers have to take the brunt of this. There is also a knock-on effect to the level of caring offered to the residents.
On top of this, there is the antagonistic approach of some GPs - but after reading an article in Pulse - I understand this a bit more and will write about it later. GPs - talk to us as we do not realise that care homes put pressure on your practice!
If care homes are breaking the law by not having registered managers in the home, what are the CQC going to do about it? Provide saints or people teetering on the edge of insanity to fill the posts? At present - you have to be one or the other!
Care of residents will suffer. It is inevitable. Managers cannot manage a home if they are swamped in paperwork!