Adult Social Care

The news that people with learning disabilities are being prescribed anti-psychotic medication inappropriately reminds me of the ‘chemical cosh’ situations of the bad old days. We need to ask questions…

I was speaking to a commissioner recently about the difficulty she had negotiating with some providers over fees, because nobody at a local level was able to make decisions. Inevitably,…

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…

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…

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…

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…

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…

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…