The speech focused on his vision for an education system which emphasises supportive relationships for students, particularly at-risk and in-need children, and advocated for stronger collaboration across services. In 2024, almost 1 in 30 children were classified as in-need.

By utilising Ofsted’s uniquely broad insights into education, childcare and children’s services, this has the potential to enable a more comprehensive, holistic view of each child’s life.

A Holistic View of Children’s Lives

In every school, educators and staff play a key part in creating spaces where children and young people feel safe, valued and supported, especially the most vulnerable students. Studies show that positive relationships with teachers and other adults can have a significant impact on students’ wellbeing.

It is, however, important to acknowledge that they cannot do this alone, and we welcome Sir Martyn’s acknowledgement of the need for a collaborative approach, within and beyond the school setting.

Sir Martyn’s speech also recognised that schools don’t have enough insight into children’s lives outside of school, and that parents and guardians may struggle to access out-of-school support. We hope this will encourage educators and school staff to consider the provision available outside of their schools, and how they can support parents and carers to access these.

Sir Martyn’s emphasis on understanding the “whole picture” of a child’s life offers a vital shift within the sector. By updating the standards set by Ofsted and the definition of school success to include a greater focus on inclusion, wellbeing and promoting improvement, we hope to see the sector continue towards a more supportive approach for both schools and students.

The Need for Comprehensive Pastoral Care

We fully endorse Sir Martyn’s reminder that schools must understand the complex backgrounds and needs of looked-after children. Providing staff with the tools and strategies to support vulnerable young people isn’t just beneficial – it’s essential. Jack’s story, shared in the speech, is a moving example of how empathetic, well-trained staff make a significant impact on looked-after children’s lives.

Jack’s journey underlines the importance of consistent, trauma-informed care and a joined-up support network. At Flourish, we’re committed to this approach, and we’re glad to hear that Ofsted will play a greater role in supporting schools to provide this level of care for all students.

Safeguarding and Inclusion – Schools’ Evolving Role

Safeguarding is an absolute priority, one that goes far beyond box-ticking and “paperwork”. It is, as Sir Martyn stated, the foundation of supporting children’s welfare in schools. His emphasis on safeguarding as a proactive, practical commitment highlights the need for a comprehensive approach which extends beyond traditional frameworks to ensure the protection of all children. The introduction of a standalone safeguarding report will help schools to clearly demonstrate clearly how they are keeping children safe, and to identify areas for improvement.

UNESCO have highlighted inclusive education as a key contributor to academic achievement, social skills and self-esteem for children and young people. It’s encouraging to see that Ofsted will recognise the pivotal role schools play in helping children to belong and thrive, as well as succeed academically. We welcome this opportunity to move towards a more positive, collaborative approach that recognises schools’ contribution towards children’s social and emotional lives.

Schools as Community Anchors

Sir Martyn’s acknowledgement of the essential role schools play in their communities, helping young people to develop a sense of belonging and resilience, underscores both the impact schools have on children’s wellbeing, and the pressure they are under. Teachers and school staff significantly influence children’s wellbeing, and need the right support and training to carry this responsibility.

At Flourish, we believe that inclusion in schools is an essential focus area. When schools are equipped to meet a diverse range of needs, children who are at greater risk of exclusion or slipping through the cracks are more likely to get the support they need. We hope Sir Martyn’s call for a greater focus on specialist and alternative provision will help to enable an education system tailored to children’s individual needs.

A Collaborative Commitment to Improvement

Flourish is wholeheartedly committed to creating better outcomes for children and young people, especially those who are most vulnerable. Through child-centred, trauma-informed training for educators and children’s services, we focus on social and emotional wellbeing, aiming to equip every adult in a child’s life with the skills and knowledge to provide truly meaningful support. We are encouraged by this more nuanced and supportive direction from Ofsted, focusing on resources, support and advocacy.

It’s the time of year when families gather – usually around a table filled with food, and surrounded by seasonal songs and decorations. Although this is something that many enjoy and look forward to, it may create confusion and anxiety to someone who is suffering with dementia. If you’re caring for a loved one with dementia, or plan on visiting a loved one at a care home, you might be wondering how to make their holiday mealtime experience as enjoyable as possible, in the midst of all the seasonal tumult.

Sharing meals with family can provide structure to the day, but when caring for someone with dementia, meal times can often become stressful events. Not only does the carer have to keep tabs on whether the person is eating a well balanced diet and is staying hydrated, but that their meal time experience is also associated with good feelings. If the person with dementia is stressed, anxious, or experiencing negative emotions in any way, it may hinder their intake of food, or trigger a disdain for sitting down to eat altogether.

So how do we support someone with dementia during mealtimes – especially holiday meals? It all starts with investigating the persons habits and routines from their pre-dementia lives. When you understand the eating habits someone has had for decades, you can decipher why they might be doing something like refusing to eat. Try asking questions to help you decide what the best approach would be to support an individual with their mealtime experience.

Questions to Consider:

**Lists are sourced from Alzheimers.ca & wales.gov.**

About the person:

• Is the person’s mouth ok? (sores, dry mouth, denture fit, tooth ache etc)
• Medication list – could some cause loss of appetite?
• Medical conditions – could some cause loss of appetite?
• Restless or anxious – perhaps sitting still is causing some anxiety and making them less hungry
• Eye sight – can the person see what they’re eating? Can they see their fork or drinking glass?
• Smell & Taste – perhaps their sense of smell and taste have changed due to a condition/medication/dementia
• Food – is this food that the person recognises?
• Physical limits – does the person have a physical barrier in regards to using the items on the table (fork, condiments, napkin)
• Confusion – maybe they think they’ve already eaten

About the setting

• Is there too much noise?
• Are there too many people?
• Is something distracting you?
• Is the table too cluttered?
• Is the lighting bright enough? Is the lighting too bright?
• Do you feel rushed or anxious by external sources?

How to Address Decreased Eating for Someone With Dementia

When you see the questions above, you can see how easy it is for mealtime to become stressful for someone with dementia. As a result a person may lose weight due to the loss of appetite or general difficulty eating. So how can you help in this case? Firstly, ask your GP to refer you to a dietitian. Secondly, take a look at the tips below to help with mealtimes for someone with dementia.

Tips to Improve Mealtimes For People With Dementia

The setting & table

• Get rid of distractions – turn off the T.V. or radio. Provide a calm and unhurried atmosphere.
• Make sure the lighting is adequate.
• Serve meals at a time when the person is calmer and more alert.
• Eat together to keep meal times a social event.
• Keep the table simple – serve one food at a time, one utensil.
• No sharp knives.
• Colour contrast is good between plate, utensil, and table, but avoid patterns.
• Easy to hold cutlery and dishes.
• Stable plates – use non-slip mats to keep dishes in place.

The food itself plays a big role

• Is possible let them help in food prep.
• Healthy finger foods – like bite size snacks that can be picked up with fingers, but still provide good nutritional value.
• Nutritious foods that can be taken from a cup or a mug: Healthy shakes or liquid food might be able to take the place of a full meal *speak to your GP*
• Frequent snacking/small meals instead of 3 large meals.
• Colourful food that is easy to see on the plate.
• Favourite foods before dementia will probably continue to be favourite foods after. Eating them might also bring joy and serve as a reminder of good times.
• Difficulty chewing? Grind or mash foods and choose soft foods like eggs and cheese.
• If there is a concern about choking or difficulty swallowing, consult a physician. Take a look at our blog about dysphagia for some more information about this.
• Update your first aid knowledge on how to deal with choking.
• Food temp – not too hot or too cold.

Giving instructions

• Cues: words or actions – they might mimic your actions.
• Simple instructions – 1 step instructions, or break up bigger tasks into small steps.
• Speak with a calm, soothing tone, with slow and steady instruction. No rushing.
• Hands on guidance if necessary to initiate eating.
• Narrate what food you are giving to the person.
• Spilled food? No problem. Avoid commenting on it since it might cause some shame. Read our blog about dignity bibs (not actually bibs in the usual sense). Aprons could also work well if the person is used to wearing one in the past.
• Encourage the person to feed themselves even if they’re not neat.
• Not interested at the moment? Take a break, do an activity. Then lead back to the meal later.

One day at a time

As a carer for someone with dementia, it can be hard to tackle the issue of difficult eating. Just remember that the person is not trying to be difficult and it’s not personal. By setting up routines, eating rituals, and a safe familiar environment, someone with dementia can be encouraged to eat and enjoy their meal time as well. Even though the same approaches may vary day by day, just remember that you are doing the best that you can and that’s absolutely enough.

So how do I Approach a Holiday Dinner for Someone with Dementia?

Ultimately, if you as the carer know that an event will likely be too intense for someone with dementia, we would suggest you sit the event out. Perhaps organise smaller, more personal dinners to catch up with family and friends in a location that is familiar and controlled for the person with dementia. At your home, or at the care home you can control the music and decorations, or the way the table is set. When you visit a family member’s or friend’s home, even if the person with dementia has been there in the past, the overwhelming sense of a disrupted routine, new sounds and distractions, and many voices, can lead to anxiety and a negative eating experience.

There is no single answer to why elderly people may experience depression, as there can be various factors that contribute to this condition. Here are some possible reasons:

1. Biological factors: Changes in brain chemistry or hormone levels may increase the risk of depression in older adults.
2. Health conditions: Elderly individuals may experience chronic illnesses, pain, or disability, which can lead to feelings of hopelessness and helplessness.
3. Life transitions: Aging can bring about significant changes in a person’s life, such as retirement, loss of a spouse or loved one, or physical limitations, which can be challenging to adjust to and may trigger depression.
4. Social isolation: As people age, they may become more socially isolated, which can lead to loneliness and feelings of worthlessness.
5. Medications: Certain medications that are commonly prescribed to elderly individuals, such as blood pressure or cholesterol-lowering drugs, can have side effects that may contribute to depression.
6. Genetics: Depression may run in families, and older adults who have a family history of depression may be more likely to experience it themselves.

What can someone do to fight back on Depression?

It’s essential to remember that depression is a treatable condition, and seeking help from a healthcare provider is critical in managing and improving symptoms.

There are several ways an elderly person can fight back against depression. Here are some strategies that may help:

1. Seek professional help: The first step in addressing depression is to talk to a healthcare provider, who can assess the severity of the depression and recommend treatment options. Treatment may include psychotherapy, medication, or a combination of both.
2. Stay socially connected: Maintaining social connections is crucial in combating depression. An elderly person can reach out to friends and family members, participate in community events, or join a local senior centre.
3. Engage in physical activity: Exercise has been shown to have a positive impact on mood and overall well-being. An elderly person can engage in low-impact activities such as walking, swimming, or yoga.
4. Practice relaxation techniques: Relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation can help reduce stress and anxiety.
5. Volunteer: Volunteering can provide a sense of purpose and fullfillment, which can help combat depression. An elderly person can consider volunteering at a local charity or organization.
6. Get enough sleep: Lack of sleep can exacerbate symptoms of depression. It’s essential to maintain a regular sleep schedule and practice good sleep hygiene.

It’s important to remember that everyone’s experience with depression is unique, and what works for one person may not work for another. Seeking professional help and being open to trying different strategies is key to finding a treatment that works.

What can friends or Family do to help support an Elderly loved one who may be struggling with depression?

Friends and family members can play an essential role in helping an elderly loved one who is suffering from depression. The first step is to encourage your loved one to seek professional help. Depression is a treatable condition, and a healthcare provider can assess the severity of the depression and recommend appropriate treatment options, which may include medication, psychotherapy, or a combination of both.

Listening without judgment is also crucial in providing support to your loved one. Let your loved one know that you are there for them and willing to listen. Avoid judging or criticizing their feelings and validate their emotions. Providing practical support, such as running errands, doing household chores, or cooking meals, can also help alleviate some of the stress and burdens that come with depression.

Depression can make it challenging for an elderly person to maintain social connections, so encourage your loved one to stay connected with friends and family. You can invite them to social events, introduce them to new people, or take them to community events. Providing emotional support is also essential. Let your loved one know that you care about them and that they are not alone. Regularly checking in on them, sending cards or letters, or offering to spend time with them can help show your support.

It’s also helpful to educate yourself about depression in older adults. Learning about symptoms, risk factors, and treatment options can help you provide better support to your loved one. Remember that supporting a loved one with depression can be challenging and may require patience and persistence. Taking care of yourself is also essential, so seek support from others if needed. By working together and supporting each other, you can help your loved one overcome depression and improve their overall quality of life.

Moving from the comfort of a home where you have spent many happy years, into a care setting might be terrifying. The many changes, including a new way of life, new people, and new routines and procedures – it is a huge shift, which is why many individuals struggle to adjust to care home living.

Personalising your space can help you maintain your individuality while making the major step of moving into a care facility less daunting. Making your room as comfortable as possible by decorating and furnishing it with familiar items may provide comfort, assist you in settling in, and make you feel better about the situation. (Carehome.co.uk)

Take a look at this list to learn a few tips and tricks on how to make your care home feel more like home.

Bedding From Home

Allowing new residents to bring their own bedding is a simple yet effective method to help them feel at home. Ideally, this should be something one-of-a-kind, and recognisable that helps them relax and quiet down. If they do not want to bring something from home, offer them the option to choose a new design instead. It is amazing how a throw or blanket on the bed can make your residents’ rooms appear and feel cosier. Matching curtains and throw cushions can also help personalise the space.

Lighting, Colours and Décor

The décor of a care setting is important in making it feel less clinical. Recent studies have indicated that having a nostalgic décor in facilities that accept elderly citizens may be very calming since it is an aesthetic that the inhabitants are familiar with. Care settings may make individuals feel more at ease by taking modest actions like these.

Lighting has also been found to impact an individual’s mental state and capacity to remain mobile. Natural lighting should be used wherever feasible to make the space feel more welcoming.

Pictures of Family & Friends:

Having reminders of family and friends, both past and present, may help residents feel more at ease. It is also a good idea to display photos of the individual when they were younger. Make the photographs the focal point of the room’s décor.

Homely Smell

Care homes will undoubtedly not smell the same as someone’s own home. Try bringing perfumes, air fresheners, or washing powders from home, to help mimic the comfortable scents that a resident is partial to. Every home has a distinct fragrance, even if we do not always notice it. Your home’s scent is probably so familiar to you that you do not even notice it when you walk in. Try to recreate that sense of familiarity in your care home with scents from home.

Furniture

Whether at all feasible, measure the room ahead of time to see if any of your furniture may be carried along. It is conceivable that you or a loved one has an emotional attachment to a certain chair since it was “theirs.” Take it with you if it will fit.

Keep in mind that any furnishings must be fire retardant for reasons of health and safety.

Bring your Favourite Books and Music

Books, music, films, and other forms of media remain unchanged no matter where we are or how long it has been since they were created. Memories can be firmly tied to a certain song or album, and it’s actually been proven that music has a positive impact on those suffering with dementia.

As much Autonomy as possible

A care facility should not merely take away a person’s independence. Their duty is to assist the individual in achieving the greatest amount of autonomy and independence feasible. This might mean that a resident may have hobby materials or a kettle in their room to prepare a hot drink for oneself or when family members arrive. When a resident is able to continue living their life to their fullest independent capacity, they feel empowered and more likely to feel comfortable and happy in their new care home setting.

To be a great nurse or caregiver, several traits are essential. These traits can greatly contribute to providing compassionate care, building strong relationships with patients, and ensuring their well-being. Here are some of the traits that are important for someone in these roles, as well as case study example’s of each trait in action:

Empathy

The ability to understand and share the feelings of others is crucial in nursing and caregiving. Being empathetic allows you to connect with patients on a deeper level, providing comfort and support during challenging times.

The nurse actively listens to the patient’s concerns, asking open-ended questions to encourage them to express their feelings. The nurse acknowledges the patient’s emotions and validates their experiences, saying things like, “I can understand how difficult it must be for you to be away from your loved ones during this challenging time. It’s completely normal to feel lonely and scared.”

The nurse demonstrates empathy by not only recognizing the patient’s emotional state but also by showing genuine care and compassion. They offer words of comfort and support, saying, “I’m here for you, and I’ll do my best to provide the care you need. If there’s anything specific you’d like to talk about or any way I can make your stay more comfortable, please let me know.”

The nurse’s empathetic approach helps the patient feel understood and valued as an individual. It creates a connection between them, providing emotional support and reassurance during their hospitalization. By demonstrating empathy, the nurse goes beyond their medical duties, addressing the patient’s emotional needs and enhancing their overall well-being.

Compassion

Having a genuine concern for the well-being of others and showing kindness and understanding is vital. Compassionate nurses and caregivers go above and beyond to alleviate suffering and improve the quality of life for their patients.

Situation: Imagine a caregiver working in a residential facility for elderly individuals with varying degrees of cognitive impairment. One day, the caregiver notices a resident who has been withdrawn and visibly upset for several days. The resident, who usually engages in activities and socializes with others, has been isolating themselves in their room.

Recognizing the change in behaviour, the caregiver approaches the resident with compassion. They sit down next to the resident, providing a comforting presence, and gently ask if everything is alright. The resident initially hesitates but eventually opens up about feeling lonely and missing their family, who rarely visits.

The caregiver responds with empathy and compassion, validating the resident’s feelings. They take the time to listen attentively, offering words of comfort and understanding. Instead of dismissing the resident’s concerns, the caregiver acknowledges the impact of loneliness and separation from loved ones, saying, “I can imagine how challenging it must be for you to be away from your family. It’s natural to feel lonely and miss them.”

The caregiver goes the extra mile to address the resident’s emotional needs. They suggest arranging a video call with the resident’s family, coordinating the schedule and ensuring a comfortable space for the conversation. Additionally, they involve the resident in activities that promote socialization, encouraging interaction with other residents who may be experiencing similar feelings of isolation.

Through their compassionate approach, the caregiver not only acknowledges the resident’s emotions but also takes proactive steps to alleviate their distress. They provide emotional support, make an effort to fulfil the resident’s need for connection, and create a sense of belonging within the residential facility. By demonstrating compassion, the caregiver shows genuine care and empathy, improving the resident’s well-being and fostering a sense of community.

Patience

Nursing and caregiving often involve working with individuals who may be in pain, have cognitive impairments, or require assistance with daily activities. Patience is necessary to provide care at the individual’s pace and to handle difficult situations with composure.

Situation: Imagine a nurse working in a busy emergency department. It’s a hectic shift, with a high influx of patients requiring urgent care. The nurse is assigned to a patient who arrived with a minor injury but has been waiting for a while to be seen by a doctor. The patient is visibly frustrated, expressing their dissatisfaction and impatience.

Instead of becoming defensive or dismissive, the nurse demonstrates patience. They approach the patient with a calm demeanour and apologize for the wait, acknowledging the patient’s concerns. The nurse takes the time to listen to the patient’s frustrations, allowing them to vent their feelings.

The nurse patiently explains the situation, saying, “I understand that waiting can be frustrating, and I apologize for the delay. We have a high volume of patients right now, and we’re doing our best to see everyone as quickly as possible. I’ll check on the status of your examination and provide updates.”

Throughout the interaction, the nurse remains composed and attentive. They engage in active listening, allowing the patient to express their concerns fully. The nurse maintains a respectful and understanding attitude, refraining from rushing or interrupting the patient.

Additionally, the nurse periodically checks in with the patient, providing updates on their status and assuring them that they have not been forgotten. They answer any questions the patient may have and address their needs to the best of their ability.

By displaying patience, the nurse acknowledges the patient’s frustration and shows understanding. They handle the situation with composure and professionalism, putting the patient at ease and validating their concerns. Despite the demanding environment, the nurse’s patience helps diffuse tension and maintain a positive rapport with the patient, ensuring they receive the care they need.

Communication skills

Effective communication is key in nursing and caregiving. It involves active listening, clear and concise verbal communication, and the ability to convey complex medical information in a way that patients and their families can understand.

Situation: Imagine a nurse interacting with a patient who has recently undergone a complex surgical procedure. The patient is experiencing pain and discomfort, and they have concerns about their recovery process. The nurse approaches the patient with excellent communication skills to address their needs effectively.

The nurse begins by actively listening to the patient, allowing them to express their concerns and share their experience. They maintain eye contact, nod affirmatively, and provide verbal cues to show that they are fully engaged in the conversation.

Using clear and concise language, the nurse explains the patient’s condition, the expected recovery timeline, and the various strategies in place to manage pain. They use non-technical terms and avoid medical jargon to ensure the patient understands the information being conveyed.

The nurse also encourages the patient to ask questions and actively seeks their input, saying, “I want to make sure you have all the information you need. Is there anything specific you would like to know about your recovery or any concerns you’d like to discuss?”

Throughout the conversation, the nurse demonstrates empathy and shows sensitivity to the patient’s emotions. They validate the patient’s experiences and provide reassurance, saying, “I understand that you’re feeling anxious about the pain. It’s normal to have concerns after surgery. We have a team dedicated to managing your pain effectively, and we’ll work closely with you to ensure your comfort.”

Additionally, the nurse provides written materials, such as pamphlets or instructions, to reinforce the information discussed verbally. They may also offer additional resources, such as contact information for support groups or educational websites, to further assist the patient in their recovery journey.

Critical thinking

Nurses and caregivers must be able to think critically and make sound decisions in high-pressure situations. They need to assess patients’ conditions, analyse information, and determine the best course of action for their care.

Situation: Imagine a nurse caring for an elderly patient who has been experiencing frequent falls. The nurse recognizes the importance of critical thinking to assess the situation, identify potential risk factors, and develop a plan to mitigate future falls.

First, the nurse gathers information by reviewing the patient’s medical history, conducting a comprehensive assessment, and interviewing the patient and their family. They explore various factors that may contribute to the falls, such as medication side effects, balance issues, or environmental hazards.

Next, the nurse engages in critical analysis. They evaluate the patient’s physical and cognitive abilities, identify any underlying medical conditions that may increase fall risk, and assess the patient’s home environment for potential safety hazards. They also consider any recent changes in the patient’s medication regimen or physical functioning.

Through critical thinking, the nurse identifies potential interventions to address the issue. They collaborate with the healthcare team, including physicians, therapists, and social workers, to develop a comprehensive care plan. The nurse considers various strategies, such as implementing fall prevention exercises, modifying the patient’s environment to remove hazards, recommending assistive devices, and providing education to the patient and their family about fall prevention.

Additionally, the nurse anticipates potential challenges and risks associated with each intervention. They critically evaluate the feasibility and effectiveness of the proposed strategies based on the patient’s specific needs and resources available. They consider the patient’s preferences and values to ensure a person-centred approach to care.

Based on their critical analysis, the nurse implements the agreed-upon interventions and continuously evaluates their effectiveness. They monitor the patient’s progress, adjust the care plan as needed, and communicate with the healthcare team to ensure a coordinated approach to fall prevention.

In this example, critical thinking as a nurse or caregiver involves thorough assessment, analysis of risk factors, and the development of a tailored plan of care. It requires the ability to think critically, consider multiple factors and perspectives, and make informed decisions to enhance patient safety and well-being.

Flexibility

Healthcare environments can be unpredictable, with varying patient needs and unexpected challenges. Being adaptable and flexible allows nurses and caregivers to adjust to changing circumstances, prioritize tasks, and provide optimal care.

Situation: Imagine a nurse working in a busy hospital where patient needs and staffing levels can change rapidly. The nurse demonstrates flexibility by adapting to the evolving circumstances and adjusting their approach to meet the needs of the patients and the healthcare team.

One day, the nurse begins their shift with a planned patient assignment. However, a sudden influx of new admissions and an unexpected staff shortage occur, causing a significant increase in workload. Instead of becoming overwhelmed or rigidly adhering to the original plan, the nurse demonstrates flexibility.

The nurse also adjusts their approach to provide care efficiently. They streamline their workflow, find creative solutions to manage their time effectively, and maintain open lines of communication with patients and their families to manage expectations.

Furthermore, the nurse adapts their communication style to accommodate individual patient preferences and needs. They may provide additional explanations, offer reassurance, or employ different techniques to ensure effective understanding and engagement.

Throughout the shift, the nurse remains adaptable and responsive to changes in patient conditions, care plans, and priorities. They maintain a positive attitude, remain calm under pressure, and continue to provide quality care despite the challenging circumstances.

By demonstrating flexibility, the nurse contributes to maintaining a safe and efficient healthcare environment. Their willingness to adapt and adjust their approach allows them to effectively manage unexpected situations and provide optimal care to their patients.

Attention to detail

Paying close attention to detail is crucial to ensure that medications are administered correctly, treatments are carried out accurately, and patients’ conditions are monitored effectively. Small details can have a significant impact on patient outcomes.

Situation: Imagine a carer working with an elderly client who requires assistance with daily activities and medication management. The carer demonstrates attention to detail by paying close attention to the client’s needs, preferences, and specific care requirements.

When assisting the client with personal hygiene, the carer carefully observes any changes in the client’s skin condition, such as redness or sores. They take note of any new bruises or marks that may indicate potential falls or injuries. They promptly report any concerning observations to the healthcare team, ensuring appropriate action is taken to address the client’s well-being.

In medication management, the carer meticulously follows the prescribed medication schedule, ensuring the correct dosages and timing. They double-check the medication labels, confirm the client’s name and dosage requirements, and record the administration accurately. They are mindful of potential medication interactions, allergies, or adverse reactions, and promptly notify the healthcare team of any concerns or changes in the client’s condition.

In meal preparation, the carer pays attention to the client’s dietary restrictions, preferences, and nutritional needs. They carefully review meal plans, follow portion sizes, and consider any allergies or sensitivities. They take note of any changes in appetite, weight, or hydration levels, reporting these details to the healthcare team for further evaluation.

Moreover, the carer is attentive to the client’s emotional well-being. They actively listen to the client’s concerns, engage in meaningful conversations, and provide emotional support. They observe any changes in mood, behavior, or social engagement, ensuring appropriate interventions are in place to address the client’s psychological needs.

By demonstrating attention to detail, the carer ensures that every aspect of the client’s care is thorough and accurate. They proactively identify any potential issues, actively monitor the client’s health and well-being, and maintain open lines of communication with the healthcare team. Their meticulous approach promotes the client’s safety, comfort, and overall quality of life.

Emotional Resilience

Nursing and caregiving can be emotionally demanding. Emotional resilience helps professionals cope with stress, handle difficult situations, and maintain their well-being while providing care to others.

In their role, the carer frequently encounters challenging and emotionally charged situations. They witness the pain and suffering of patients, as well as the grief and distress of their families. Despite these difficult circumstances, the carer remains emotionally resilient.

The carer recognizes the importance of self-care and regularly engages in activities that replenish their emotional well-being. They practice stress management techniques, such as meditation or exercise, to reduce their own emotional burden and maintain a healthy balance in their own lives.

When faced with emotional situations, the carer acknowledges their own feelings while maintaining a professional and compassionate approach. They validate the emotions of patients and families, allowing them to express their grief, anger, or fear without judgment. The carer actively listens, offers comfort, and provides a safe space for individuals to share their thoughts and emotions.

The carer also seeks support from their colleagues and supervisors, engaging in debriefing sessions or seeking counselling when needed. They actively participate in educational opportunities to enhance their understanding of grief and loss, further strengthening their emotional resilience.

Furthermore, the carer establishes boundaries to protect their emotional well-being. They recognize the importance of balancing empathy with maintaining a healthy emotional distance to avoid burnout. They practice self-reflection, continuously assessing their own emotional state and seeking support when necessary.

By demonstrating emotional resilience, the carer provides a stable and supportive presence for patients and their families. They navigate challenging emotional situations with empathy and compassion while also prioritizing their own emotional well-being. Their resilience allows them to continue providing high-quality care, even in the face of difficult circumstances, helping to foster a nurturing environment for all involved.

Teamwork

Collaboration with other healthcare professionals, such as doctors, therapists, and support staff, is essential. Working effectively as part of a team ensures coordinated and comprehensive care for patients.

Situation: Imagine a nurse working in a hospital where teamwork is essential for providing efficient and effective care. The nurse demonstrates teamwork by collaborating with colleagues from different disciplines to ensure the best possible outcomes for their patients.

In a complex case involving a patient with multiple chronic conditions, the nurse actively engages in teamwork to coordinate care. They collaborate with physicians, pharmacists, physical therapists, and social workers to develop a comprehensive care plan that addresses the patient’s medical, physical, and psychosocial needs.

During interdisciplinary team meetings, the nurse actively contributes their expertise and shares relevant patient information. They listen to the perspectives of other team members, consider their insights, and offer their own input based on their knowledge of the patient’s condition and progress.

The nurse also engages in effective communication with the team to ensure seamless coordination. They provide timely updates on the patient’s status, relay important information from the patient and their family, and discuss any changes or concerns. They actively listen to their colleagues’ input and provide constructive feedback when needed.

Additionally, the nurse demonstrates a willingness to support their colleagues and collaborate in delivering patient care. For example, they assist nursing assistants in their tasks, lend a hand during procedures, or offer to cover for colleagues when needed. They recognize the importance of shared responsibilities and the benefits of working together as a team to provide optimal care.

By demonstrating teamwork, the nurse contributes to a collaborative and supportive work environment. They foster effective communication, respect the expertise of others, and actively work towards shared goals. Through teamwork, they enhance the coordination of care, promote patient safety, and improve the overall quality of care provided to their patients.

Continuous Learning

The field of healthcare is constantly evolving, and nurses and caregivers must be willing to learn and adapt. Keeping up with the latest medical advancements and best practices ensures that patients receive the highest standard of care.

Situation: Imagine a carer working in a residential care facility for individuals with cognitive impairments, such as Alzheimer’s disease. The carer demonstrates a commitment to continuous learning by actively seeking opportunities to expand their knowledge and skills in providing care for individuals with dementia.

The carer recognizes the importance of staying up to date with the latest research, best practices, and developments in dementia care. They regularly engage in professional development activities, such as attending workshops, seminars, or conferences focused on dementia care. By participating in these events, the carer gains insights into innovative care approaches, evidence-based interventions, and emerging therapies.

Additionally, the carer takes advantage of online learning platforms, educational resources, and reputable websites dedicated to dementia care. They explore topics related to person-centred care, communication strategies, behaviour management, and creating dementia-friendly environments. They actively seek out research articles, books, and journals to deepen their understanding of dementia and related caregiving practices.

The carer also participates in internal training programs offered by their organization. They attend sessions on topics specific to dementia care, such as validation therapy, reminiscence therapy, or sensory stimulation techniques. They engage in simulations or role-playing exercises to practice new skills and enhance their ability to respond effectively to the unique needs and challenges of individuals with dementia.

Furthermore, the carer seeks opportunities to learn from experienced colleagues. They actively engage in mentorship relationships, seeking guidance and feedback from senior carers who have extensive experience in dementia care. They value the wisdom and insights shared by their peers, recognizing the importance of learning from others’ practical experiences.

By prioritizing continuous learning, the carer enhances their knowledge, skills, and understanding of dementia care. They strive to provide the most current and effective interventions for individuals with cognitive impairments, promoting their well-being, comfort, and quality of life. Through continuous learning, the carer remains adaptable, open-minded, and committed to delivering the highest standard of care to those they support.

It’s Not for Everyone!

Not everyone is cut out to be a nurse or carer due to the emotional demands, physical demands, communication skills required, stress and pressure, and the need for physical and mental resilience in these professions. It’s important for individuals to assess their own strengths and suitability before pursuing a career in nursing or caregiving.

Are you a Nurse or Carer in the UK looking for some extra hours? Are you thinking about becoming a self employed carer or nurse? Sign up with Flourish to gain access to vetted local clients, looking to fill shifts with someone reliable and hardworking just like you! Keep 100% of your earnings (no commission), set your own rate of pay and your own hours too.

Care home managers in the UK today face a range of challenges related to staffing. These issues are rampant across the board, and at every step of the staffing related process. Right from the get-go at recruitment, down to scheduling, training and development, and compliance, the challenges are many and always seem to be multiplying.

Carer & Nurse Recruitment

Challenge: Finding and retaining enough qualified and reliable staff can be a significant challenge, particularly in areas with high living costs or where the care industry is less valued.

Solution: Flourish’s Click Shifts platform can help care homes find and attract qualified staff by matching them with available shifts. Care home managers can create a profile on the platform, post vacancies, and receive applications from suitable candidates.

Carer & Nurse Staff Scheduling

Challenge: Care home managers need to ensure that there are enough staff available to cover shifts at all times, while also managing staff absences and ensuring that staff are working within their contract terms.

Solution: Flourish's platform, Click Shifts, can help care home managers manage staff schedules and availability in real-time, ensuring that there are enough staff available to cover shifts at all times.

Training and Development of Care Staff

Challenge: Care home managers need to ensure that staff receive adequate training and development opportunities to provide high-quality care, while also managing the costs and time involved in providing training.

Solution: Flourish's Click Learning platform can provide access to training and development resources for care home staff, including online courses and other resources. Care home managers can use the platform to manage staff training and development plans and track progress.

CQC Compliance

Challenge: Care homes need to meet a range of regulatory requirements, including those related to staffing levels, training, and safety. Care home managers need to ensure that they are meeting these requirements at all times

Solution: Flourish’s platform can help care home managers ensure compliance with regulatory requirements by providing real-time data on staffing levels, training, and safety. This can help managers identify areas of non-compliance and take action to address them.

Overall, a tech-led staffing platform like Click Shifts can help care home managers address the challenges of staffing in the care industry by providing a flexible, responsive, and data-driven solution to recruitment, scheduling, training, and compliance.

About 1 in 10 nursing home falls results in serious injury. Between 2%-6% of nursing home falls result in some type of fracture. On average, a nursing home with 100 residents reports about 100-200 falls yearly, according to recent studies.

So why does this happen so frequently, and what can someone or a care home do in order to make sure that falls can be avoided as much as possible.

Why are elderly people more likely to fall?

There are several factors that can contribute to making an elderly person more prone to falling. Some of the most common factors include:

1. Reduced mobility and balance: As we age, our muscles and bones become weaker and our sense of balance may decline, making it more difficult to maintain stability when walking or standing.
2. Chronic health conditions: Certain health conditions such as arthritis, Parkinson’s disease, and vision problems can increase the risk of falling in older adults.
3. Medications: Some medications can cause dizziness or drowsiness, which can increase the risk of falling.
4. Environmental hazards: Slippery floors, poor lighting, and obstacles in walkways can all contribute to falls.
5. Cognitive impairment: Older adults with dementia or other cognitive impairments may be more prone to falling due to difficulties with balance and coordination.
6. Inactivity: A lack of physical activity and exercise can weaken muscles and decrease balance, making an elderly person more susceptible to falling.

It’s important to note that each person’s risk factors may vary depending on their individual health status and circumstances, and falls can have serious consequences for older adults, including fractures and head injuries. Therefore, it’s important to take steps to prevent falls, such as staying active, removing hazards from the environment, and working with healthcare professionals to manage chronic health conditions and medications.

What can be done to prevent falls for the elderly?

There are several steps that can be taken in a care home to help reduce the risk of falls for the elderly. Some of these include:

1. Regular assessments: Regular assessments of residents’ mobility, balance, and risk of falling can help identify those who are most at risk and ensure that appropriate interventions are in place.
2. Environmental modifications: Making modifications to the physical environment, such as removing tripping hazards, improving lighting, and installing handrails and grab bars can help reduce the risk of falls.
3. Staff training: Staff members should be trained on how to identify and manage fall risks, as well as how to assist residents with mobility and transfers.
4. Exercise programs: Implementing exercise programs, such as strength training and balance exercises, can help improve residents’ mobility and reduce the risk of falls.
5. Medication management: Ensuring that residents are on appropriate medications and monitoring for potential side effects, such as dizziness or drowsiness, can help reduce the risk of falls.
6. Assistive devices: Providing residents with appropriate assistive devices, such as walkers or canes, can help improve mobility and reduce the risk of falls.
7. Communication: Encouraging open communication between staff, residents, and families can help identify and address fall risks in a timely manner.

It’s important to note that reducing the risk of falls in a care home requires a multidisciplinary approach and may involve input from healthcare professionals, staff members, and family members.

Why are Environmental Modifications so important when it comes to preventing elderly falls?

Environmental modifications are an important aspect of fall prevention in care homes. Making modifications to the physical environment can help reduce tripping hazards and improve the safety of the living space. Here are some specific examples of environmental modifications that can help reduce the risk of falls in a care home:

1. Removing tripping hazards: Any items that can cause residents to trip or stumble, such as loose rugs or electrical cords, should be removed or secured.
2. Improving lighting: Adequate lighting is essential to help residents navigate the living space safely. Ensuring that there is sufficient lighting in all areas, including hallways, bathrooms, and bedrooms, can help reduce the risk of falls.
3. Installing handrails and grab bars: Handrails and grab bars provide support and stability for residents and can help prevent falls. They should be installed in key areas such as bathrooms, bedrooms, and along stairs.
4. Ensuring proper flooring: Flooring that is uneven, slippery, or worn can increase the risk of falls. Ensuring that flooring is even, slip-resistant, and in good condition can help reduce the risk of falls.
5. Arranging furniture: Furniture should be arranged in a way that allows for easy navigation and does not create obstacles or barriers for residents.

These are just a few examples of environmental modifications that can help reduce the risk of falls in a care home. Each care home should conduct a thorough assessment of the living space to identify potential fall risks and take appropriate action to address them.

Learnings from Lynda, Insights and valuable information for care home managers in the UK.

I have some very strong rules I have learned over the years, in completing duty rotas. The most important thing is to be as fair as possible while providing the cover the residents need to receive their care.

Request Books

One of the essential things that staff have to know is the request book is for SPECIAL requests only. This is because the most important thing is to provide care. If a minority of staff are essentially doing their own duty rota through requests, it can quickly upset the rest of the team whose rotas are amended to fit in the requests. Tempting as it is to try and keep everyone happy, having clear boundaries around requests gives the team stability and trust in the person doing the rota.

Fixed Weekend Rota Patterns

Weekend challenges come when weekends are fixed. We are all quick to learn to book holidays on the weekend we are on duty, thus getting more weekend time. This is particularly challenging if the rota pattern gives your staff every other weekend off. Fixed patterns are wonderful for giving staff certainty to make plans. They come unstuck if the holiday allocations don’t take account of which team is covering which weekend and too many on one rota get their holidays, which leads us to the next issue.

Approving Too Many Holidays In One Week

The solid base of a good duty rota is an effective holiday booking system. This applies across the whole year and not just key holiday periods. In the interests of fairness and not overworking the carers on duty, most care homes have zero holidays approved during the 2 week Christmas period. It has lots of benefits. It’s fair to everyone and it saves on any agency costs used to cover holidays. Agency care is very expensive at Christmas.

I used to have a holiday request diary; 1^st come first served. All entry requests had to be signed and dated for the day they were entered. Once the set number were entered no more could be booked. This was supported by a holiday request form which was approved by the manager. The manager checked the diary and either approved or denied the holiday request. Simple but effective.

The difficulty occasionally arises when a new team member has pre-booked holiday. This is when Flourish comes into play.

Playing Favourites

One of the oldest and most annoying aspects of planning a rota is when the person doing the rota gives their friends and favourites the best shifts! I can vouch, when there is no fixed weekend rota, staff are very aware of who gets the most weekend shifts or the most early shifts.

This has to be balanced by managing the work/life balance of staff to meet the needs of any care situation – School holidays, helping elderly relatives or a special celebration. The duty rota is where the crossover happens between your teams work life and their home life. This is where fairness and good boundaries come into play.

This was most evident at Christmas. I used to put up a blank rota at the end of November and ask the team to fill their preferred rota. This system relies on staff understanding they are employed to cover 24/7, 52 weeks a year. Many times it was easy, as someone who wants Xmas off accepts they cover new year. On rare occasions I would have to check the previous years rota and allocate a fair rota to ensure all the shifts were covered.

Rota Done Too Late

Not getting the rota out till the week before impacts the work life balance. It also shows a lack of respect for your team and an inability to manage your work time. It’s easy in the everyday challenges of running the home to become overwhelmed meeting the immediate needs of your residents’ and your team. There are several ways to overcome this, one of them is delegating the job to someone else who has more time than you. Rotas should be up at least two weeks in advance to allow people to plan their lives and to identify where you may need bank or agency cover. Then there is the opposite mistake as well…

Rota is Done Too Early

This might seem impossible, but if it does happen I can assure you the next issue will be people wanting to swap shifts because they’ve not entered a request into the diary, or someone goes on long term sickness or leaves. Then you have to amend the whole rota again. This is frustrating if your team have already made plans. So my guidance is to keep only a months rota on the wall.

I wish you all well in finding out the best way to meet your residents and your teams needs. Keeping the home team happy to cover is one of the greatest gifts a manager can have.

All the Best,

Lynda