Community Care research finds residential care staff are missing out on vital training in dementia care, safeguarding and the Mental Capacity Act
Published in partnership with Unison
Staff working in residential and nursing homes are not being provided with the training they need to support adults with complex needs, research by Community Care has found.
Dementia care is particularly falling short, with even specialist dementia homes failing to provide training on the topic to their staff. Safeguarding, the Mental Capacity Act (MCA) and the Deprivation of Liberty Safeguards (Dols) were the other most common gaps.
We found examples of where the lack of training had resulted in safeguarding concerns not being reported, residents being unlawfully deprived of their liberty, and people with dementia being treated with no empathy or understanding of their care needs.
Unison said the findings highlighted the “shocking lack of investment” in the residential care system.
The Care Quality Commission’s chief inspector for social care said it was worrying that gaps existed in areas that are fundamental to the protection of vulnerable people’s rights.
About the research
Community Care wanted to understand the training gaps among residential care workers. We analysed 300 inspection reports published by the Care Quality Commission (CQC) between 1 October 2014 and 31 August 2015. We looked at where training had been identified as an issue by inspectors and where the gaps were in terms of topic area.
The analysis of 125 ‘inadequate’ services, 125 ‘requires improvement’ and 50 ‘good’, showed:
Training gaps were identified in 71% of care homes told to improve by the CQC.
Dementia care, safeguarding and the Mental Capacity Act were the topic areas that fared worst.
Almost half (49%) of the homes told to improve by the CQC were breaching regulations that require them to ensure a suitably trained and supported workforce.
The 300 care homes we looked at were inspected under the CQC’s new approach, provided residential and/or nursing care and supported adults over the age of 65 years.
Of the 250 homes told to improve by the CQC, 178 had gaps in training provision.
As would be expected, training issues were much rarer in homes rated ‘good’ by inspectors. Gaps were identified in only five of the 50 homes looked at, however, these gaps were also in the three topics specified above, suggesting a widespread issue with training in these areas.
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