3 huge problems with care homes, 1 small solution. | Debbie Harris | TEDxRoyalTunbridgeWellsWomen
ฝัง
- เผยแพร่เมื่อ 9 พ.ค. 2024
- We are living longer and we no longer have a multi generational family to support us - so who is going to look after us in our old age? Care homes are the answer, but not as they currently operate. There is a really simple solution that benefits everybody, residents, care home and community.
Debbie Harris, founder of Chosen with Care, lives in Tunbridge Wells, with her husband, and a rather gorgeous greyhound.
Having looked after a much-loved elderly aunt Debbie gained her first insight to care provision. Initially bemused, sometimes horrified, Debbie’s experience shaped a clearly-defined purpose and ambition:
‘to fundamentally change the way people view care homes,
and their expectations of living in a care home.’
In 2015, Debbie established Chosen with Care, one of very few organisations in the country that works with the elderly and their relatives, the medical and the legal professions, to search for, evaluate, and continually review, care homes for the vulnerable people that need them.
Above and beyond providing a finding service, Debbie is determined that Chosen with Care becomes a vehicle with a powerful voice that can help create a positive profile for the care industry.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at ted.com/tedx
![ปกติรีบตรง ไม่มีทรงรีบโกย : Gameboys [#73]](http://i.ytimg.com/vi/TnHXBorXoUU/mqdefault.jpg)
Here in ontario many of our homes have a daycare attached and it's uplifting to most residences..they also bring in work dogs which also brings much joy.
Nice ideas, thank for that as a carer I would like to add some more:
1. More staff, when you are understaff this job became so hard and difficult, we really want to please all our residents and their relatives...however sometimes it is incredible hard.
2. Better payment. I know we are not doctors, in fact our job is not very appreciated by some people due the lack of high qualifications and the basic duties that we deliver...however when you are a resident you would think that the careers job is more important than it looks and how important is to keep us motivated and valued. Even if you love your job, being constantly psychology and even physically attack, plus the little money that you received for your love and dedication make you feel really useless.
3. Qualifications and experience needs to be better considered for recruitment... better payment and a better selection of the staff would make a huge different. This is not an easy job, we are not just waiters or cleaners...we are the responsible of residents wellbeing, happiness and we expend more time with them than nurses, doctor, physios or any other professional.
They will not increase staff because it cuts into profit and unfortunately, $$$ is the bottom line.
I quit after 20 years because of low staffing and corporate takeover
"Do not let the person who says it can't be done get in the way of the person doing it."
Really wonderful talk, and I recognize the experiencve with so much institutional care which is something we should all view with shame.
I love this talk too, really powerful.
Very valuable presentation with creative and simple ideas for better care homes!
This talk was wonderful. Wish I could meet this lady. However, our biggest problem in the US is with Nursing Homes. Lack of care for patients, depressing, lack of staff, food is horrible, lack of personal hygiene for residents, etc., etc, etc. One of the newest problems is with this generation of elders is obesity. The Nursing Homes are not equipped to handle the growing numbers of obese patients. Do you have any information and insight or ideas that you all have instituted that could help.
I think there is another important reason why people often don't want to go to a care home. Residents can feel like they're being abandoned. I.e. family members don't want to care for them.
Well done! I think that it is something worth considering.
I want to know this lady. I'm starting an elderly care community in Hawaii. This is great.
I don't think any of this is realistic. I work in care homes and they are very risk adverse - mainly due to CQC demands and litigation from relatives. Having dozens of strangers coming through the doors would be a risk assessors nightmare, not to mention infection control concerns and concerns over theft. Care homes are very tightly regulated. Staffing levels are woefully inadequate with care staff only being able to rush from one job to another with yet another six jobs waiting in the wings. They often don't even have time for a cuppa or the loo. The nurses are taken up with endless drug administration and paperwork - it's an industry which hasn't even embraced the most basic of computer programs in which to document care so everything takes ages to do. These places are invariably dismal, impersonal, boring and dull, not to mention smelly and noisy with the TV and often a radio as well blaring out 24/7. The good ones are unaffordable and most are just meh, adequate, but horrible at the same time. I think a timely assisted death would be preferable than to live out one's days in such a place. After over 25 years of working in them, that's what I have planned.
Excellent comment! So were does this Lady mention the group of elderly who are suffering from Altzheimers or similar. Who may wander of ! Or endanger themselves etc.
Or the Bedridden.
There is not enough Staff for this at present ! And by whom is this going to be funded?
I have worked and resident can't keep there clothing. Workers steal everything, can't have decent clothes or get regular baths. And they take every penny they get. Poor pay doesn't help.
SHe deals with ppl at the beginning of their stays... know what I mean? Also the current funding models, inadequate as they are, are still worth mentioning.
What happens if you are in a good care home and your money runs out?
@@davideldred.campingwilder6481you’re asked to leave if you’re privately funded. Unless social services will pay.
Totally agreed ...u doing a wonderful job lady❤️
Great talk, makes one think in all different directions, excellent ideas
Brilliant but if it's a care home for people with dementia it's alot more difficult
*Rest* assured *The majority of the investors are living it up with people like Jeffrey Epstein!*
The one where I worked hired visa guest nurses with no power. Rationing everything and never checked to make sure the patients were even getting their medication -which it turns out MOST were
not. Nobody cared because the investors are raking it in.
Nice ideas, us carers have them all the time. But not realistic sadly. We are not and will never be staffed to organise such things. I've worked in care for 10 years and the answer to every damn question is ....more staff.
The Green House Nursing Home Alternative.
Best ever!
Good presentation. It gives me some new ideas for the independant assisted living I am into now, planning in my country.
The bottom line is more important than patient care.
I loved your ideas.... You are very special, you see what I have seen
I realise this was in the past but...In this Pandemic Season...The disposable aprons and gloves...Make A Whole lot of Sense!😀
All care homes should be run by state or charities so that money is not going to benefit shareholders but all go into paying the staff you actually need to give the residents proper care. Care homes should all be not-for-profit because if you provide proper care there is no extra left over for profit.
Unfortunately, you are forgetting that the elderly are much more susceptible to germs. Nice concept and could work, but also who wants to eat someplace where, frequently, as hard as they try, the stench is NOT inviting and certainly nowhere I would ever choose to eat a meal.
The blue plastic gloves, unless they are changed very frequently, are nothing but magnets for germs and aren’t washed like we wash hands. Disturbing. I do totally agree with your outlook. Our final years should be wonderful and celebrated. Something must change. ❤️
Unrealistic. Risk management is unthinkable if a care home runs like what she said.
Every one has got ideas.... but the public liability Insurance is the scariest part for implementing these ideas...... Legal issues.... etc....
A place we went to live as opposed to a place we go to die.... Hmmm...if there was a coffee shop the residents could help with little things like a bouquet for the tables, set the tables, and take some orders from customers....It could be a game, but also a little business.
Even 20 yrs ago the care homes here would not let us past the reception desk due to liability concerns. Unless you are visiting a particular patient/relative with authorization.
Well what we need is advertising, TV programs, movies, and media blitzes supporting these types of living environments. Value people, Value care. I take care of my mother post stroke for the last 5 years. What i envision is villages similar to like the movie/ book the Giver, but without the Giver person taking all the burdens, and killing mentally deficient babies. We should have a home health center implanted in the neighborhoods, and people visit the elderly or disabled that need help throughout their work days. We need to stop focusing on wars and start focusing on valuing people. Have defense in country, take care of our fellow neighbors, and family members. We have so many people just living on the streets, mentally ill, abusing drugs, they should get help. We need to come together and start caring about each other as human beings again.
Salute🔥
When they were non profit it was better...now a big business
What about active care like prospect court?
The worst problem with care homes is who can afford one?
She acts like the CNA's are to blame for care. We have 42 residents per CNA here, you can't physically take care of that many people but Medicare and Medicaid encourages that very culture and business model!~ $10 dollars an hour, paid $4,000 for CNA classes, and your job is constantly on the line, Nursing homes are reimbursed for quantity not quality. Administrative is hired for census number abilities not quality or management of staff.
You are so very right!! And your comments were BEFORE covid!!! I'm a witness as a patient!!! They don't seem to realize, many of us had careers and businesses and work ethic, and can see all the money "saving"/making games they lie to us about, an everyday in our face insult of our intelligence.
The ONLY REASON what works WORKS in a nursing home, is because of benevolent hardworking professionals who come to work everyday and put the HOME in nursing home by somehow turning lemons into lemonade! Great CNA'S, like great teachers, are our society's most underpaid underappreciated overworked over stressed UNSUNG HEROES!!!!!! THANK YOU FOR YOUR SERVICE!!!!
sad to say, but if more men did institutional caregiving, perhaps more changes might be implemented.
Are all care homes open 7 days a week,24 hours a day?
Wild Horses wouldn't drag me into a care home. I'm 52, that's potentially 20 years away. I'll be in a camper van, and one night, after a load of alcohol, I'm going to let the hand-break off and fall off the White cliffs of Dover and NOT listening to Vera Lynn!
This is all talk. Sadly the reality is not enough staff and not enough people willing to volunteer to help. I’ve worked in care homes and most residents are lethargic and can’t be bothered. Staff haven’t time , too busy dealing with incontinence and wandering residents. Gone are the days where homes were filled with old people who were mobile and had capacity. I used to bring my daughter in to help at Xmas etc and she said the smell put her off. She found some residents rude and demanding. She wouldn’t come again. This presenter speaks about an deal world, it doesn’t exist. I’ve met many ppl like her on courses, they travel around saying exactly what she’s saying but doing nowt! Most elderly want to relax in their final years, I’ve seen the sighs when the manager was trying to get them up for bingo, entertainment etc.
You are leaving out the lack of staff. Their jobs are hard enough without having to endure low wages and inadequate hours and not having enough staff.
Care Homes are just worried about profits. They don't care about their staff neither their service users. And in England it's a huge business, all these quality certificates. This is nothing. People are so unhappy and mistreated. Lack of humanity and respect. I simply hate them... Care Homes, nursing homes.... It's discusting....the managers do nothing... Incompetents,,, 😭😭😭
Problem is many people from the public are not friendly and your paid residents could be upset from those issues.
Good ideas, but how to control the environment.
So the current generation of middle age people will work on better care homes so they can have better than what they currently think is okay for their parents
You should look after your elderly parents yourself. They spent around 15 years or more bringing children up. The least you cam do is look after them when they are old. No excuse unless they have no family.
You are right. However, the kids all want your money. They squabble and fight. Personally, I was the one that looked after my mum till she died and spent three grand on the coffin and the burial another few grand. My brothers hated me for that...
@@davideldred.campingwilder6481 Hi sorry about your mum R.I.P. i looked after my mum for 2 yrs. My two sisters said we have to put her in a home. I turned to my mum and said pack your bags you coming to live with me. That was 1986 and not seen my sisters since.
Ive no regrets you only get one mum. Regards. Dave Collins.
@@dmc949 Dave. Almost 40 years. Although I talk with my sister. She's a selfish piece of dirt. My brother, too. All's I'm doing is waiting for their turn. Waiting for their turn...
@@davideldred.campingwilder6481
Yes their time will come. Take care. D.
They should not
She's Edna room 306 window...
in a few years might robots with human enthusiasm and absolute timming will replace hca and nurses.Robots need only electricity and app. update.
If you wouldn’t bother to care for your parents then why would anyone else care
Because they are paid to and many people care.
America, where elders are disposable. Where other countries look up to Western values and trend toward gaining wealth not celebrating age, wisdom and the unique contribution Seniors bring to society.
Empathy, caring, compassion and MONEY are essential to improving the quality of life for aging Baby Boomers. We are living in the tail end of a Pandemic and headed into a Recession. Is caring for a generation that is not through giving to the USA, let alone the world a priority? A resounding NO at the city, county, state or national level.
Could the multi-billionaires globally make a dent in creating improved living options for the infirm happy? YES; will they, NO.
Plans for communities to integrate generations, cultures and care could be the future. Daycare and after school care is insanely expensive as are assisted living and nursing home facilities.
A utopian society would allow for every age person to benefit from and find a purpose in their communities. Intergenerational biological families living together is rare.
Wouldn't it be lovely if the myriad of excellent plans for turning existing communities into nurturing environments for all were given priority when huge sums of money were being doled out (from anyone or anywhere)?
You are very wrong or you don`t understand something ...you have to think that all care homes ruling after policy which MUST be followed asCQC and all other institutions recommended, and one policy is Infection prevent - blue aprons and gloves is to protect service user and carer as well to spread any infection...(a carer is doing personal care love and a carer having maybe more than 5 residents ). Also, about the restaurant ...not suitable because of the same thing -infection control. On the other hand, times have changed and so have people such as mentality, behavior, etc. Also, but about owners and their investments ???
Impractical tish! Risk assessments will fail, the environment becomes uncontrollable.
She can talk all she wants, government isn't going to do anything that takes a dollar, or company that has to put out money. You can that speech didn't come free.
Care homes are worse than Animal rescue centres
Death is still better
Fatastic speech!