Covid-19 Diaries. Care Homes
22 April 20
Posted at 10:15
I cannot speak with any authority or professional knowledge about care homes of course but care homes have been a hot news topic in the UK for the last week or ten days so it is worth me recording that fact and in doing so share some personal experience and anecdotes. I mentioned in a previous blog that there is a care home about half a kilometre up a track next to my house. The building that is now the care home was originally a farmhouse, Chase farm, and in fact my own house was originally a farmworkers cottage attached to the farm. The actual farmhouse was sold separate to the farm many years ago, around 1960 I believe. When I was at school in the mid sixties a friend of mine actually lived in the house although at that time I did not live in Arlesey. Fast forward about twenty years and we had purchased our house from the estate that still owned the farm and another acquaintance owned and lived in the farmhouse, now known as Chase House. I remember quite vividly a party I went to in the house, it must have been the early '80s as the guy who lived there had a CD player, none of us had seen a CD before. I remember people stubbing cigarettes out on the few CDs he possessed just to prove they were indestructible, which of course they weren't. I've no doubt some of us will need the services of care homes one day as a result of such parties!
Chase House Care Home
The private house went on to become a care home and over the years the building has been dramatically but tastefully extended to three or four times its original size. It is a privately run care home and I believe it has maintained good ratings in terms of the quality and breadth of care it provides. I know people who have had relatives live there and I know people who work there. I've not really heard anything but praise for the care provided and I have the greatest admiration and respect for those carers who work there.
As I said earlier care homes have been a hot topic in the news recently. News nowadays consists of 90% plus related to the coronavirus pandemic. It is wall to wall, it is dynamic and increasing it seeks to apportion blame. Our government is receiving criticism about the number of deaths in our care homes. Personally I feel the only area we can confidently say the government, although strictly speaking it is the previous government as we recently, just last autumn, had a general election. The previous government(s) were responsible for financial cut backs that were severe, had they not been so severe perhaps we would have been better able to respond to this pandemic. Beyond that this present government were in the process of reversing some of the austerity we have experienced. The pandemic though struck too soon for there to be any effect. I am cautious to blame the government for the desperate situation we see in our care homes for a number of reasons:
- First of all care home residents are by nature elderly, many have underlying health problems, they live in quite crowded conditions with much communal activity. When visitors were allowed earlier in the pandemic they arrived often from fair distances away. Residents are often not located in a home close to their relatives. These factors alone make the care home environment ideal for the virus to spread. Social distancing is nigh on impossible in the average care home.
- The private sector accounts for a large number of care homes from big corporations managing multiple homes to smaller privately run homes. These are all businesses and in many cases quite profitable. Yet it feels as though the finger of blame for any lack of preparedness points at the government as opposed to the business owners.
Today the senior medical officer Chris Witty expanded on my first point above. I have not seen figures but I strongly suspect that in years when we have bad flu epidemics and winter vomiting outbreaks, care homes see a disproportionate level of fatalities. In reality care homes see a disproportionate number of fatalities anyway. For many the period spent in a care home leads up to and includes end of life. Of course this does not belittle in any way the horrendous situation we face in our care homes at this time made even worse by the fact that care home residents die alone without their family being able to visit.The role of the family is taken up by the already overstretched and I suspect quite frightened care staff. In reality they have done this before on a smaller scale as some people are in effect abandoned with no relatives when they are in care. Never on this scale though and never under the shadow of Covid-19.
The job and the dedication of our care workers is hopefully being recognised. Gradually they are replacing celebrities and sports star as the real heroes in our society. Despite the criticism being levelled at the way the UK has responded to this pandemic I believe our care home sector has faired well against the odds. I remember reading early in this pandemic of care homes in Spain being abandoned, patients being discovered days later all having been left to die. It is a real credit to our care home staff across all sectors that they not only care for every single resident they do so with love and dignity.
My mother in law lived in a care home for two years (not Chase House), she suffered from dementia and Lupus and had a stoma. She died in the home in 2018. I am thankful she is not there during this pandemic.
I mentioned in a previous blog about applauding with the staff from Chase House last Thursday evening. Tomorrow I will do so again with some extra vigour.