Care Quality and Commissioning or what a difference

Care, Quality and Commissioning or what a difference a year makes… Jill Manthorpe 7 th November 2011

About us…. http: //www. kcl. ac. uk/schools/sspp/interdisciplinary/scwru/ 16 -Mar-18 2

What the papers say. . . ‘Hospital suspends staff following BBC Panorama investigation’, Nursing Times, 1 June, 2011. ‘CQC finds older people not assisted at meal times’, Nursing Times, 3 June 2011. ‘DH review will consider national lessons from Winterbourne’ Nursing Times, 27 June 2011. 'Box-ticking care home watchdog put elderly at risk': MPs say commission is more interested in paperwork than safety’, Daily Mail, 14 Sept 2011 ‘Hit squads to swoop on 500 care homes to root out neglect and tackle abusive treatment’ Daily Mail, 26 October 2011 16 -Mar-18 3

Care in the community ‘ 100, 000 elderly and disabled victims of suspected abuse’ Daily Telegraph 3 November 2011 ‘Sheltered housing residents living in fear as addict returns’ Hull Daily Mail 5 November 2011 ‘Behind The Headlines: Justice for the disabled victims of hate crime’ Birmingham Mail, 15 Sept 2011 ‘Evil pair tortured disabled victims’, The Shields Gazette, 5 Nov 2011 16 -Mar-18 4

giving people names David Askew ‘case of vulnerable adult’ Keith Philpott Shaowei He Christopher Foulkes Colin Greenwood Steven Hoskin Laura Milne Michael Gilbert Brent Martin 5

2011 Care oppositions Southern Cross v the righteous Care quality v easy to identify abuse Care inspection - fit or unfit? Care funding – someone else’s problem 16 -Mar-18 6

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ambivalence Needing to address ambivalence or ‘rust from within’ Who they house What they mean If avoided - a form of paralysis 16 -Mar-18 Long Term Care Meeting 8

Holding ambivalence Do we want and need care homes? Are they homes? Care or nursing? Are they businesses? Institutions? Or Big Society? Who is it we want to work there? 16 -Mar-18 Long Term Care Meeting 9

Moving from normal and neurotic ambivalence (Freud 1912) ‘A permanent coexistence of a high intensity of irreconcilable love and hate is only possible through the ‘involvement’ of a different psychic register, the unconscious’. Dagmar Lorenz-Meyer 2001

Meaning? 16 -Mar-18 Long Term Care Meeting Being less miserable Naming ambivalence Not sorting Peer counselling Being aware of the feelings of others Thinking of scape-goating risks Not ending of ambivalence but thinking about the real oppositions 11

Acknowledgements We acknowledge Department of Health funding of the Unit. The views expressed in this presentation are not necessarily shared by the DH 16 -Mar-18 12