I have worked as a troubleshooter for 3 of the large national private providers and am cognisant of my PIN but not only I have I raised safeguardings, one home I was drafted into had 20 safeguardings raised against it by the local GP's. one home put into special measures by CQC could not be closed despite incredibly poor, neglectful care because there was nowhere in the locale for the residents to move to and in every case the manager was a nurse, who either knew or purposefully decided not to look.
I believe the job of a nursing/care home manager is one of the hardest in our society. Not only are managers responsible for those in their care and their families, they are responsibile for managing all the HR issues appertaining to a large; often disparate staff group; the buildings; the kitchen and chefs/ cooks; activities; quality assurance; budget; cash flow; marketing; funding; legal documentation; nurse revalidation; training; housekeeping and hotel services. The result in my experience is a manager who burns out after around 2 years, is out of their depth and thus stops listening, looking and caring. Nurses do not necessarily make good business managers and the regulator needs to think long and hard about whether an active PIN is what's needed and then employers who I believe are complicit due to poor recruitment processes, need to take a long look at how they choose those they want to be both a manager and leader of services that are designed and expected to look after the safety of the most vulnerable in our society!
I am very disappointed indeed to find the emphasis of any action regarding nurse retention is aimed almost entirely on MHS Trusts. For those of us managing nurse retention in the Social Care sector, what support do we have and to whom do we address our very serious concerns? Many of the issues remain the same with the added commercial pressures of reduced social care funding through local government, the increase to care staff because of the national living wage and changes to hospital discharge initiatives now sending people home with a package of care without adequate local domiciliary care infrastructure. This week alone I noted a week long respite package for a gentleman living on his own was funded at £60 by the local government. How on earth are we to retain professional nurses with competitive remuneration and CPD costs because we cannot access NHS CPD? Please can someone tell me who is even interested in what happens to nurses in the social care sector within our professional bodies?