Care, Quality and Commissioning or what a difference a year makes…

Jill Manthorpe7th November 2011

About us….

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http://www.kcl.ac.uk/schools/sspp/interdisciplinary/scwru/

What the papers say... ‘Hospital suspends staff following BBC

Panorama investigation’, Nursing Times, 1 June, 2011.

‘CQC finds older people not assisted at meal times’, Nursing Times, 3 June 2011.

‘DH review will consider national lessons from Winterbourne’ Nursing Times, 27 June 2011.

'Box-ticking care home watchdog put elderly at risk': MPs say commission is more interested in paperwork than safety’, Daily Mail, 14 Sept 2011

‘Hit squads to swoop on 500 care homes to root out neglect and tackle abusive treatment’ Daily Mail, 26 October 2011

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Care in the community ‘100,000 elderly and disabled victims of

suspected abuse’ Daily Telegraph 3 November 2011

‘Sheltered housing residents living in fear

as addict returns’ Hull Daily Mail 5 November 2011

‘Behind The Headlines: Justice for the

disabled victims of hate crime’ Birmingham Mail, 15 Sept 2011

‘Evil pair tortured disabled victims’, The

Shields Gazette, 5 Nov 2011

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giving people names

David Askew ‘case of vulnerable adult’Keith PhilpottShaowei HeChristopher FoulkesColin Greenwood Steven HoskinLaura MilneMichael GilbertBrent Martin

5

2011Care oppositionsSouthern Cross v the righteousCare quality v easy to identify abuseCare inspection - fit or unfit? Care funding – someone else’s problem

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ambivalenceNeeding to address ambivalence or ‘rust

from within’Who they houseWhat they meanIf avoided - a form of paralysis

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Holding ambivalence

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Do we want and need care homes?Are they homes?Care or nursing?Are they businesses? Institutions? Or Big

Society?Who is it we want to work there?

Moving from normal and neurotic ambivalence (Freud 1912)

‘A permanent co-existence of a high intensity of irreconcilable love and hate is only possible through the ‘involvement’ of a different psychic register, the unconscious’.

Dagmar Lorenz-Meyer 2001

Meaning? Being less miserableNaming ambivalenceNot sortingPeer counsellingBeing aware of the

feelings of othersThinking of scape-goating

risksNot ending of

ambivalence but thinking about the real oppositions

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AcknowledgementsWe acknowledge Department of Health funding of

the Unit. The views expressed in this presentation are not necessarily shared by the DH

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