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Movement without medication

September 7, 2015
I have long had a ‘thing’ about the unnecessary use of laxatives. Its time to stop assuming these are a necessary fact of life for those with profound and complex…
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Skills Gap – an excuse to profit?

September 1, 2015
Most care service managers will tell you that when it comes to nursing staff, there is a small pool of talent and a huge amount of competition. As a consequence…
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A change is the benefit of a rest

August 21, 2015
In the middle of the holiday season, the real benefits of a short break can be remarkable Always when I speak to staff returning from holidays with service users, the…
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Dysphagia – Hard to swallow

August 16, 2015
For many people with severe learning and physical disability, eating and drinking can be distressing and risky. If you support people with very profound and complex needs, you may have…
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Becoming autism aware

August 15, 2015
The new Code of Practice to the Mental Health Act 1983 includes a very useful chapter (Chapter 20) on autism and identifies some areas of good practice for providers of…
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You can ‘C’ why we like fruit and vegetables!

July 12, 2015
Readers of this blog will have had frequent reminders about the importance of the inclusion of plenty of a variety of fruit and vegetable in the diet, and its benefit…
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Service provider feedback and IT

July 11, 2015
A major provider of care and nursing homes has begun to provide each location with iPads for the service users. These are pre-programmed with questionnaires, and space for individual comments.…
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Duty of Candour: Do we have to be compelled to be candid?

July 9, 2015
The Duty of Candour places a responsibility on providers to be open and honest about incidents in the delivery of care.  But surely this goes without saying. In March 2015…
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