News

Week in Week Out: 1st Grade Care accused of ordering a client to be abandoned

Published

9 years ago

June 9, 2015

Marie Perry – George’s wife

A Welsh council is investigating a case made in a Week in Week Out programme where a care worker was ordered to leave a distressed 92-year-old woman alone on the floor of her home, following a fall.

That careworker is employed by a firm which tenders for work in Pembrokeshire and Cardiff.

Vale of Glamorgan Council-contracted 1^st Grade Care is accused of ordering the care worker to abandon Doris Jones from Barry, and attend their next call before an ambulance or relative arrived.

The care worker told Week in Week Out: “I rang the paramedics straight away and all the time she’s on the floor. I then rang the office to say my lady is on the floor and was told to leave the call within the time I was allocated and go to my next call. I asked if somebody could do my next call for me because I didn’t feel happy leaving her, and I was told no. I had to leave her and to leave the door open for the paramedics.”

The care worker says she felt so awful about what she was asked to she do she challenged the order: “I asked if they would be happy if it was their mother lying on the floor and somebody left. I was told it was just the job.”

It’s a shocking accusation. We spoke to the son of 92-year-old Doris Jones who took the call. He told us there had been many concerns with 1st Grade Care including missed and shortened calls. When his mother came out of hospital she was placed with another care company at the family’s request. Doris Jones passed away last year.

1^st Grade Care has been in operation since 2011 and was set up by former property developer Michael Poole.

log-final-2015-300x119 The allegation levelled against the company is just one of a series made on Week In Week Out by families unhappy at the level of care provided as well as care workers who say the company failed to train them and they found it impossible to meet the demands of their everyday rotas.

In a damning report by the Care Standards Inspectorate for Wales (CSSIW) published in January this year, 1^st Grade Care was said to be putting service users in “unnecessary and significant risk to their health, safety and well-being due to a lack of sufficient training for a high percentage of staff.” Issues surrounding rotas were also found. The company was served with a non-compliance notice and the CSSIW have been back to re-inspect. They say they expect to publish a new report by the end of the month.

Jackie Toom worked for the company in Pembrokeshire as a care worker and admits to being regularly late to assist clients as she struggled to follow a rota that only gave 15 minutes to travel from St David’s to Newport, or ended one call in Milford Haven and started the next at a location north of Haverfordwest, at the same time.

“You can’t be in two places at the same time. To get from A to B in zero minutes. We are not given any travel time so we could get more working hours – more calls.”

Marie Perry from Pembroke has Parkinson’s Disease and needed a care package to help her get to the bathroom four times a day but her husband George tells the programme visits were regularly late or even missed.

Mr Perry, who has had major heart surgery and whose condition is deteriorating, was left to lift his wife when care workers were late or didn’t turn up. He says he is angry over the experience and doesn’t understand why the authorities haven’t investigated the company earlier. Mr Perry told The Herald: “I don’t know how much control the local authority has over them. It’s not being properly policed otherwise they would have lost their contract some time ago”.

Week in Week Out has discovered that 1^st Grade Care has come under scrutiny by both Pembrokeshire and Vale of Glamorgan but neither council has thought it appropriate to cancel the company’s contract.

In a statement 1^st Grade Care, said that the company admits they have been failings managing care workers appointments but they now have a new monitoring system in the Vale of Glamorgan. But they had no comment about why problems with rotas and training had continued in Pembrokeshire despite a damning inspection in the Vale, and targets set by both councils.

Welsh councils have been under pressure to save money and drive down costs with Welsh Local Government Association figures showing £55 million shortfall in adult services over the past financial year.

There are over 400 registered care companies in Wales. The industry argues that for them to operate effectively a minimum payment of £15.74 per hour is needed, with even more in rural areas. But Week In Week Out has discovered that only three councils in Wales are paying this basic rate.

Industry insiders say the hourly rate councils are prepared to pay means they are increasingly unable to deliver services to home users effectively as they drive down their own costs to survive.

In Cardiff a new tendering system has been introduced that sees care companies bid against each other in a live auction for care packages. Professor Luke Clement from Cardiff University and an expert in social care law says he is worried by a system he believes lacks humanity and dignity.

Cardiff Council has defended the system saying it is offering value for money, improving quality as well as attracting new companies. But Week In Week Out has learned that the UK’s largest care company Allied Healthcare has pulled out of Cardiff, saying their decision was due in part to the new auction system.

Professor Clement is also critical of the inspectorate CSSIW. He told the programme: “If it is their job to make sure the sort of abuses and failures we are discussing don’t happen then clearly it’s not doing its job properly. If things go wrong there may be a letter or a slap on the wrist but companies are not being closed down”.

The Inspectorate has the power to shut down care companies that aren’t complying with regulatory standards. In the programme the CSSIW said the last year they had shut down five following inspections and 14 companies had been given strict conditions to conform to. David Francis, Assistant Chief Inspector of CSSIW said more people were coming forward with complaints tripling over the last four years, but they wanted to hear from more. He said: “If there are people out there who wish to make contact with us we welcome that. We would welcome them raising their concerns with us.”

Last year plans by Powys to reorganise home care fell into chaos and hit the headlines after companies failed to deliver and were shut down. Assembly Member Kirsty Williams says there were a number of issues that caused the new system to collapse. She wants councils to respond quicker when things go wrong. She said: “They simply do not know what is happening on the ground and then that makes the system really vulnerable. It relies on individuals making complaints and what we know about people in receipt of domiciliary care is often they are really frightened to speak out because they are worried that their carers are going to be taken away from them, they are worried that they will get people into trouble and often people are so grateful have any kind of support they are very reluctant to speak out if things are going wrong.”

The Welsh Government is working on a new law to strengthen the inspection of Domiciliary Care companies. Health Minister Mark Drakeford told the programme: “Our bill allows us to be helpful to those companies when we can help them to improve. But where there are companies who provide services of the sort that would not be acceptable to you or me or the people watching this programme. We want the law to be quicker, more effective and to make sure these companies are no longer part of our landscape”

Please watch BBC Week in Week Out, Tuesday, June 9, BBC One Wales, 10.35pm

Community

County Hall to offer space for community banking

Published

14 hours ago

April 23, 2024

Bruce Sinclair Local Democracy Reporter

A CALL for Pembrokeshire County Council to potentially change its banking arrangement with Barclays, after it closed its Haverfordwest branch has been turned down, but County Hall is to offer space for community banking.

Barclays Bank, on the town’s High Street, is to close on May 10.

The council has had a banking services contract with Barclays since 2013.

Councillor Huw Murphy, in a notice of motion heard by Pembrokeshire County Council’s Cabinet meeting of April 22, asked the council to review its banking arrangements with Barclays following the announced closure.

e said the loss of a branch “not only impacts upon town centres and businesses but also disproportionately impacts the elderly who are less likely to embrace on-line banking options”.

A report for Cabinet members said, in terms of the impact on Pembrokeshire residents, Barclays has said that it is “not leaving Haverfordwest and [will] continue to provide face-to-face support for those who need it” via community locations.

Two options were presented to Cabinet: to retender the banking services contract, and, the favoured, to work with Barclays to ensure a community location is set up in Haverfordwest.

Members heard the costs associated with moving to a new banking service provider could be in excess of £50,000.

For the second, favoured option, members heard Barclays was in discussions with the council about a location for potential community banking.

Cabinet Member for Corporate Finance Cllr Alec Cormack, after outlining the risks in the report for members, and moving the notice be not adopted, said he had “considerable sympathy” with Cllr Murphy’s notice.

He told councillors there was a glimmer of light for banking arrangements in the county, with an agreement now signed for two ground floor rooms at County Hall, Haverfordwest, to be used for community banking.

From April 25, the rooms will be available on Wednesdays, Thursdays, and Fridays, members heard.

Cabinet Member for Planning & Housing Delivery Cllr Jon Harvey also said he had “a lot of sympathy” for the motion, adding: “It’s excellent news a deal has been struck to occupy the ground floor rooms three days a week; hopefully this will mitigate, to a certain amount, the closure.

“If we can work with the respective banks to get a community-type approach let’s move forward.”

News

Haverfordwest interchange: Next stage of £19m project backed

Published

15 hours ago

April 23, 2024

Bruce Sinclair Local Democracy Reporter

The second stage of building Haverfordwest’s near-£19m transport interchange has been backed, with senior councillors hearing it could cost the council more to not support it.

The transport interchange, which includes an integrated bus station and construction of a new multi-storey car park, is part of a wider series of regeneration projects in the county town.

The total cost of the scheme in the approved budget is £18.881m, £1.987m from Pembrokeshire County Council; the remainder, £16.894m, from an already-awarded Welsh Government grant.

To date, £3.425m has been spent on advanced works, including the demolition of the old multi-storey car park and a temporary bus station.

Members of Pembrokeshire County Council’s Cabinet, meeting on April 22, were recommended to approve the award of the Stage 2 construction contract for the Haverfordwest Transport Interchange.

The report for members listed two simple options for Cabinet, to authorise the award of a contract, recommended, or to not.

For the latter it warned: “It is envisaged Welsh Government will withdraw the funding awarded and the council would need to repay grants received to date; £10.322m has been received to date of which £3.376m has been offset against expenditure.”

It added: “Cost to cease this project could cost PCC more in terms of grant repayment and any capital work required to make good. PCC match contribution for the project is forecast as £1.987m of the £18.881m.”

Planning permission for the interchange was granted in 2022, with a temporary bus station constructed that year and the old multi-storey building demolished in 2023.

That year, members of the county council’s Cabinet agreed a temporary car park will be sited on the demolished remains of the old multi-storey car park until the Haverfordwest Public Transport Interchange – delayed as no compliant tender had been found at the time – is built.

Speaking at the meeting, Deputy Leader Cllr Paul Miller said: “The interchange is an important part of the regeneration of Haverfordwest, it will not regenerate Haverfordwest on its own, it is part of a wider process. The alternative to us being engaged is we simply allow it to decline and fail.”

He said the interchange was about “making it easier to visit Haverfordwest,” making parking provision “really straightforward, making it easy and convenient as possible”.

Cllr Miller said not progressing with the scheme would risk the grants already obtained, meaning the council could potentially foot the bill for costs to date, at a greater level than progressing.

He said the cost options were a near-£2m subsidised council involvement for the whole scheme or the £3m-plus spent to date if the scheme was ended, which would leave the car park as it is now.

“It’s pretty reasonable that if they give us the money and we don’t build a transport interchange they’ll be looking for that money back,” Cllr Miller said.

He said previous figures from parking revenue – back in 2019 – amounted to £100,000 a year; and could be expected to at least double on a “like-for-like” basis following the increase in parking charges.

Members, after a private and confidential session over the actual contract details, agreed to proceed with the scheme, awarding the contract to Kier Construction Western and Wales.

Charity

RNLI prepare for summer with medical training exercise in Pembrokeshire

Published

1 day ago

April 22, 2024

Tom Sinclair

RNLI lifeguards from the north Pembrokeshire team, volunteers from St Davids RNLI and St Davids Coastguard Rescue Team came together at Whitesands beach on Thursday (18 April), for a multi-agency medical training exercise. Pembrokeshire RNLI lifeguards and St Davids volunteer lifeboat crew took part in a multi-agency medical training exercise alongside St Davids Coastguard Rescue Team in preparation for the upcoming summer season.

The Coastal Medicine programme was set up six years ago at the suggestion of clinicians from Hywel Dda University Health Board. The aim of the programme is train lifeguards, lifeboat crews and HM Coastguard teams in working collaboratively when responding to medical incidents on the coast.

Clinicians from Hywel Dda work with RNLI staff to design exercises simulating mass-casualty incidents on land and afloat. The exercises allow lifeguards, lifeboat crews and Coastguard teams to practise and test their rescue response and casualty care.

The simulated incident at Whitesands involved a medical incident at sea leading to a boat going out of control and ploughing through a group of swimmers causing multiple injuries. RNLI lifeguards responded to casualties on the beach while St Davids inshore and all-weather lifeboat crews dealt with the situation at sea. St Davids Coastguard Rescue supported RNLI colleagues as they would in a real-life scenario.

In total there were six casualties to treat, all of whom were given the immediate medical care by the teams on scene. As in a real-life scenario, they were then prepared to be handed over to the care of the Ambulance Service.

Roger Smith, RNLI Area Lifesaving Manager said: ‘The scenario was based on a real-life incident, it’s so important that we train in dealing with challenging situations.

‘The RNLI lifeguards, lifeboat crew, and the Coastguard rescue team worked really well together collaborating together to achieve the best possible result.

‘The feedback from all the participants was really positive, and our medical colleagues were very complimentary about the competence shown and the inter-agency co-operation.

‘This scenario training gives confidence to our lifeguards and lifeboat crews, and ensures the teamwork and communication is already in place ready for real-life incidents.’

Martin Charlton, an RNLI lifeguard in north Pembrokeshire said:

‘Last night’s exercise was a great opportunity for me and my colleagues on the lifeguard team to upskill ahead of the summer season.

‘We regularly attend incidents in the season that require a multi-agency response. These scenarios are a brilliant opportunity to prepare for the the most challenging situations.

‘The team and I thoroughly enjoyed the exercise and feel better prepared for the season as a result.

‘It’s always a pleasure working alongside the Coastguard rescue team and the lifeboat as one crew.’