Health
West Wales care homes on “war footing” because of Covid crisis
CARE HOMES in West Wales are on a “war footing” because of desperate staff shortages caused by the skyrocketing Covid infection rate.
According to Mario Kreft MBE, the chair of Care Forum Wales, the sector is facing its worst ever crisis with reports that 75 percent of staff were off work in some homes, either because they had contracted Coronavirus or they were self-isolating.
The situation is so bad that as a last resort homes were introducing “firebreaks” to temporarily restrict visiting as the highly infectious Omicron variant tore across Wales.
Domiciliary care companies were also struggling badly and were often unable to provide the usual level of care.
Mr Kreft warned that the situation was only going to get worse before things got better.
So much so, that some care homes were likely to be forced to declare an NHS-style “critical incident” because they were unable to cope.
But he feared reinforcements might not be available because statutory organisations like local health boards and councils were also short of staff.
Mr Kreft said: “The scale of the challenge is one we have never faced before. It’s really, really tough out there.
“The First Minister reminded us in 2020 that the social care sector was in a fragile state before the pandemic because of its precarious finances and the shortage of staff.
“After two year of this, the pressures have been building up and now we’re facing a completely different challenge because the Omicron strain of Covid is so prevalent and so transmissible.
“As a result, we’re seeing problems we’ve not encountered before.
“Care Forum Wales members have been reporting being down by up to 75 per cent in terms of staffing shifts. We’re on a war footing.
“The social care workforce has been heroic right through this pandemic. It’s taken a pandemic for people to realise how essential these workers are – just in the same way as the NHS and other services.
“They are rising to the challenge but it’s incredibly difficult and it’s probably going to get much worse before it gets better.
“It’s quite possible that some care homes will have to call on the statutory services. There are plans in place and we have been working with Welsh Government and our colleagues in health boards and local government.
“We may have to declare what the NHS would call a critical incident and in that case the only place you can go is the statutory agencies.
“The trouble is that we all know they are suffering like everybody else at the moment so whether there would be people available to alleviate the crisis, I don’t know.
“What we are talking about is making sure that people are as comfortable and as safe as they can be.
“This also applies to our domiciliary care workers who are facing similar challenges, so the visits to people’s homes may not be as long or as often as they might have been until we get through this.
“Nobody understands the importance of care home visiting better than those that run and work in care homes. It’s essential to people’s wellbeing and we’ve had decades of open house visiting without any appointments.
“The last two years have been incredibly challenging and I think people need to understand that safe visiting currently also requires a staffing input which makes it even more difficult if you are short of staff and don’t have the capacity to ensure safe visiting.
“I don’t think there have been any situations where people haven’t been allowed to visit for people in very extreme circumstances.
“I think what we’ll see is firebreaks or temporary pauses in terms of visiting individual care homes.
“The responsibility is clearly with the registered manager and the organisation running each setting.
“All the registered providers have legal responsibilities towards their residents and they also have responsibility for the health and safety of their own staff.
“I think what we’ll see – and we’re starting to see it already – is that visiting will be restricted for a period of days or a week or so because quite simply there will not be the staff to ensure safe visiting.
“The other added complication is that care homes are now unable to secure insurance against Covid-related claims so they really cannot afford to take any risks.
“But as soon as we ensure safe visiting again, we will revert to that. That’s what people have been doing over Christmas and New Year. All I would ask from people is understanding because it is such a difficult time.”
in the same vein, Glyn Williams, director of a Holyhead care home, told ITV Wales that better PPE could be a potential solution to transmission in homes: “We could increase the PPE measures, we could increase the level of masks that we’re all wearing, from the flimsy FSMS to FFP3, perhaps that would cut down transmission.”
Care staff currently wear standard surgical masks in homes where aerosol-generating procedures are not present.
Back in September, Labour’s Health Minister, Baroness Morgan, was told by the Welsh Conservatives that her statement on PPE did not reflect healthcare worker experience.
It came after Dr David Bailey, Chairman of the British Medical Association Cymru, told the Western Mail on 15 September that one of the reasons NHS Wales is currently under such immense pressure is “inadequate personal protection equipment”.
Dr Bailey continued: “Some doubly vaccinated healthcare workers are still having to isolate due to treating vulnerable patients and not having sufficient equipment such as higher-grade respiratory masks to stop the spread of the virus.”
Commenting, Welsh Conservative and Shadow Social Services Minister Gareth Davies MS said: “If we have care bosses saying we must choose between lockdown and better PPE, then I have no doubt everyone would choose the Labour Government providing adequate equipment to hard-working care staff rather than closing down and damaging all of society and the economy once again.
“It is sadly not the first instance where the Labour Government in Cardiff Bay have been told that current PPE supplies were not enough: a survey of doctors in May 2020 found that 67% of doctors in Wales did not feel fully protected from Covid-19 in the workplace.
“Since then, only last summer, we had the British Medical Association say that one of the reasons NHS Wales has recently experienced such immense pressure is inadequate PPE, yet we gave supplies away to other countries rather than save up to look after our own.
“We are regularly told by the Labour Government that they are handling the pandemic well, but surely, nearly two years since coronavirus struck the UK, adequate PPE should not be an issue for service providers, but an integrated part of the supply chain and a matter of course.”
Health
Nurse suspended after striking patient in Withybush Hospital incident
A NURSE has been suspended for 12 months after striking an elderly patient during a challenging incident at Withybush Hospital.
The suspension followed an incident in May 2022 on the trauma and orthopaedic ward, where nurse Primrose James, described as experienced and respected, was assisting an 80-year-old man known as Patient D. The patient, who had been recovering from a broken hip for six months, had a history of lashing out at staff.
A healthcare assistant who witnessed the event reported that James had struck the patient across his face and tapped his cheek after he had hit her. Recalling the incident, the assistant told the panel: “Primrose was standing beside the bed when she struck him across the face and then tapped him on the cheek, telling him off for hitting out.”
Reflecting on the incident, Ms. James expressed regret, noting her intention was never to harm patients. “This was a difficult encounter in a fast-moving situation,” she stated. “Knowing his history of aggression, I should have anticipated he might strike out, but I reacted instinctively in the moment.”
ALLEGATIONS REVIEWED
At the Nursing and Midwifery Council hearing, Ms. James faced multiple allegations. Two were substantiated: that she struck the patient and tapped his cheek. Allegations that she had acted further aggressively by pressing on his forehead and making unprofessional comments were dismissed as unproven.
The panel acknowledged Ms. James’s previously unblemished 16-year career, her extensive experience with dementia patients, and her immediate remorse following the incident. It was noted that Patient D’s aggressive behaviour was a recurring issue on the ward, and despite staff regularly facing his outbursts, no measures had been implemented by senior staff to manage the situation.
NEED FOR SUPPORT
In its decision, the panel criticised the lack of support for managing Patient D’s behaviour, stating: “Staff had reported ongoing assaults, yet action to address the patient’s aggression was lacking.”
While the panel determined that Patient D suffered no physical harm, they raised concerns about the potential for psychological distress to the patient and his family.
12-MONTH SUSPENSION
The panel ultimately ruled that a 12-month suspension was necessary to reflect the seriousness of the misconduct, despite Ms. James’s previously clean record and her remorse over the incident. The panel remarked: “This was an isolated incident involving a challenging patient, but a suspension order is warranted to underline the gravity of the incident.”
Ms. James’s suspension is subject to review at the end of the 12 months.
Charity
RNLI offers winter safety advice as lifeguard patrols end in Wales
THE RNLI are offering lifesaving beach safety advice as lifeguard patrols come to an end in Wales for the 2024 season.
This weekend (2-3 November, 2024) RNLI lifeguards will conclude their patrols at Whitesands Beach, St Davids. Lifeguards will be patrolling from 10am-6pm on Saturday and Sunday.
The RNLI are offering safety advice to help keep beach users safe during the winter months. Chris Cousens RNLI Water Safety Lead for the region said: “As the lifeguard season ends in Wales and wintery conditions have begun to hit our coastline, we’re asking people to take care and be aware of the dangers.
“If you visit a beach, never go alone. It’s vital that you have company who could get help, in the event of an emergency. Take note of safety signage at the entrance to the beach which will warn of the local risks and hazards, and if possibly speak to someone who might be local who might be able to also provide advice.
“Always check the weather and conditions and consider your capabilities, if in doubt it is better to stay dry and watch the sea than take the risk.
“Strong winds and big waves pose a great risk to those visiting the coast. In these conditions, stay clear of beachfronts, cliff edges and piers.
“You should always carry a means of contact such as a mobile phone, if you get into trouble or see anyone else in difficulty call 999 and ask for the Coastguard.
“We’re aware that cold water dipping is becoming increasingly popular. We strongly advise that you should never do this alone. As we get further into the winter months, and the temperature continues to drop, the risk of cold-water shock will increase. Make sure you understand the effects of cold water and that you have means of warming up afterwards.
“If you get into trouble in the water, Float to Live. Tilt your head back with ears submerged and try to relax and control your breathing. Use your hands to help you stay afloat and then call for help or swim to safety if you can.”
Bigger waves and stronger winds increase the likelihood and strength of rip currents.
Should you find yourself stuck in a rip current:
- Don’t try to swim against it or you’ll get exhausted.
- If you can stand, wade don’t swim.
- If you can, swim parallel to the shore until free of the rip and then head for shore.
- Always raise your hand and shout for help.
Despite the coming absence of RNLI lifeguards on the beaches, the RNLI would like to remind the public that RNLI lifeboats are a 24-hour search and rescue service with 238 stations situated around the British Isles. When you call 999 and ask for the Coastguard, they dispatch the nearest lifeboat which will come to your aid.
Health
Fundraiser walks 87,000 steps for Acute Cardiac Care Unit
FUNDRAISER Sam Faulkner has completed his 87,000 step challenge and has raised an incredible £2,609 for the Acute Cardiac Care Unit at Withybush Hospital.
Sam completed the challenge in July when he walked along the Brecon and Monmouth Canal from Brecon to Rogerstone in Newport in memory of his father. This was Sam’s second fundraiser for the unit which provided care to his Dad during his last few days.
Sam said: “It was an honour to once again raise funds for the Acute Cardiac Care Unit at Withybush Hospital in memory of my Dad and in recognition of the exceptional care given to him by the lovely staff on the unit during his last few days. We as a family will be forever grateful to the unit for their kindness and I look forward to continuing to raise more money for them in future!”
Katie Hancock, Pembrokeshire Fundraising Officer, said: “We’d like to say well done to Sam for completing his challenge. Thank you so much for dedicating your time to once again raise funds for the Acute Cardiac Care Unit.”
“The support of our local communities enables us to provide services over and above what the NHS can provide in the three counties of Hywel Dda and we are extremely grateful for every donation we receive.”
For more details about the NHS charity and how you can help support local NHS patients and staff, go to www.hywelddahealthcharities.org.uk
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