I work in a residential care home and as much as we try our very best to individualise and personalise care plans, bedrooms, give freedom of choice wherever possible, the home still has barriers to full freedom and because of the shared living space, it can be difficult for the residents to have their own space. The decision to come into a residential care setting usually means that the resident needs that extra support and wants the extra company and reassurance that being in a care home gives. Person centred care is set to enable everyone to live as independently as possible, but the reality is, people need care.
Residential care homes and sheltered living accommodation have improved greatly when we compare the institutions of many years ago, the asylums, where people with all sorts of disabilities were held together. There were numerous reports of abuse in such places, which led to them closing and a more community style care service was put in place. Now there are many different options for the elderly, there is a lot of elderly people in Wales that are maintaining their independence at home, with a care package. Carers from an agency call several times throughout the day, night, depending on what the social services think they require, or what they can afford privately. As much as I think this is great, as it must be heartbreaking to give up your family home, it concerns me, as I hear horror stories of the elderly being left for several hours, maybe falling, sitting in their own urine or excrement and having limited choices throughout their day as to when they can get up out of bed, go to bed or even eat. The carers have allocated time slots each day and are allowed only a set time with each house visit, and then in-between they might be alone for long periods. I know that such people can have a lifeline, which they can press to get assistance, the lifeline reaches a call centre and the call centre will then...