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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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Medication for people with learning disabilities in care
August 10, 2015
The NHS in England has released a circular, expressing concern about the over-medication of people with learning disability. In the wake of the Winterbourne View abuse investigation in 2012, staff…
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CQC inspections: falling down on the stairs
August 6, 2015
A provider I know has had the inspectors in, and they are definitely not happy bunnies. You see, there have been issues about the safety of the staircase in one…
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Health and Social Care – How it should be done
July 30, 2015
Today the new draft model for commissioners of health and social care services is published. Providers with an eye on the future would do well to have a browse. If…
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Last days of school
July 25, 2015
By the age of 18, most young people are nearing the end of their tolerance for formal education. For those with additional needs, is age a reason to remove them…
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