Care sector staffing crisis in North Yorkshire prompts major recruitment drive

With more than 20,000 jobs across hundreds of organisations, the social care sector in North Yorkshire is vast.

Those working in it – including support workers, home managers and nurses – often say it is helping others that makes care one of the most rewarding careers out there.

But there are myths and misconceptions about the sector which the county’s biggest-ever recruitment campaign is now hoping to bust.

The Make Care Matter campaign has launched this week in response to plummeting numbers of job applications for the around 1,000 empty roles in the county, and bosses say changing the image of the struggling sector will be the key to getting it back on its feet.

Richard Webb, director of health and adult services at North Yorkshire County Council said:

“Sometimes the image portrayed is that care workers are not professionals, We feel very strongly that they are, just like doctors, teachers and nurses.
“A career in care really does open doors and offers something for everyone as we have got hundreds of different roles. Care also gives you a future with certainty as it is a growing sector with good prospects.
“We want to bring new people in because there are so many opportunities for people with different skills and interests.
“Now is both the most challenging and best time to get started.”

It is not for young people, it is a job for women and it is unskilled – those are just some of the stereotypes that care careers carry with them.

But take a look behind the scenes and bosses say you will see that people from all types of backgrounds have stepped into the profession, from builders and retail workers to accountants and young graduates.

They also say care can be a “lifetime” career with many opportunities to climb the ladder of progression.

Yet bosses are not hiding away from some of the challenges that the sector is currently facing.

Social care was struggling before the pandemic and its long-standing structural issues have only been exacerbated by the virus outbreak.

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In North Yorkshire, there has been a recent 70% drop in applications for jobs across the county’s 500 providers, some of which are continuing to go out of business due to rising costs.

There is also the issue of compulsory Covid vaccines for frontline staff which has left around 250 workers in limbo after the government deadline passed on Thursday.

Mr Webb said while the council was working to redeploy these staff into other areas, some would see their contracts ended.

He also welcomed progress on the government’s long-awaited promise to fix how the social care system is funded.
Mr Webb said:

“We are looking to redeploy these staff wherever possible rather than lose them completely, and we have found that some at the last minute have had a change of heart and decided to take up the vaccine.
“We also welcome the first stage of the reforms announced recently. There are issues around workforce and pay which we are hopeful the government will address.”

To find out more about the jobs available go to www.makecarematter.co.uk

Major drop in applications for social care jobs across North Yorkshire

The gravity of the staffing crisis in social care has been underlined as North Yorkshire County Council launches its biggest ever recruitment drive for the sector.

The number of people applying for social care jobs has plummeted, partly due to yesterday’s introduction of mandatory vaccines for care staff.

A full meeting of the council next week will hear at least three of its executive members highlight concerns over the 70 per cent drop in applications for jobs in social care across the 500 providers in the county since July and providers continuing to go out of business, partly due to staff costs.

On any given day there are at least 1,000 jobs available across the county.

A high percentage of the county’s care homes are in the Harrogate district.

In an attempt to fill the vacancies, providers in the county are offering extra financial incentives to staff to take on the roles, from a £1,500 golden handshake for a care setting nursing role in Northallerton to carers being offered £2,000 for referring three friends.

Councillor Michael Harrison, executive member for adult services, said:

“We have people who have joined us from all different types of experiences, some from the entertainment sector; actors, drummers, from the travel sectors; pilots, cabin crew, and everything in-between.

“There is a great career to be had in care and great stability and we support people who join us with career development. From the word go you can make a big difference to somebody’s life in this job; the work that you do really counts towards improving lives and no two days are the same.”

There are 20,000 people in North Yorkshire working in the care sector, from the 13,000 care and support workers in 500 organisations providing services in residential care and people’s homes through to social workers, project managers and administrators.

The alerts come after the authority said it was having to intervene in a number of care homes to keep them staffed and the government undertook to provide workforce recruitment and retention funding to support local authorities and providers to recruit and retain sufficient staff over winter.

In a statement to the meeting, the authority’s leader, Councillor Carl Les, said:

“I am pleased that as the government launches a nationwide initiative we are undertaking more locally the biggest ever recruitment campaign to attract people into a rewarding and progressive career.”

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The council has recently warned the situation would only worsen with about 200 fewer care workers in the county due to rules requiring all care workers to be vaccinated.

Before yesterday’s deadline, numerous foreign-born care staff in North Yorkshire had said they would leave the UK if they had to have the covid jab to work.

Pay concerns

Care workers have also suggested the lack of pay progression, with staff with more than five years’ experience being paid just 6p more an hour than those with less than a year in the role in 2020-21 is a cause of recruitment difficulties.

In a statement to the meeting, Councillor Michael Harrison, the authority’s adult social care executive member said the county’s situation reflects fierce competition within the labour market alongside hospitality, retail, heavy goods transport and construction.

He said:

“Pressures are building within nursing, residential home and domiciliary care capacity as a result of workforce pressures within the external market, and we continue to see provider failures in the system.

“Packages of care are being handed back to the council to either re-source or find alternative solutions to keep people safe. This is putting significant pressure on and impacting our in-house provision as we try to find solutions for people or fill the gaps using staff from our services.

“This is impacting our ability to provide re-ablement and respite services. Complex care packages are being handed back at short notice alongside those requiring two carers or in more rural locations. In addition we are seeing care home providers withdraw from providing nursing care or withdraw completely from the market.”

Warning of “difficult choices” in the upcoming Budget, the council’s finance boss Councillor Gareth Dadd will tell the meeting that securing the necessary workforce remains acutely challenging.

In an attempt to ease staffing pressures, the council is working with providers and has just launched a recruitment campaign focusing on the diversity of career opportunities in care.

Coun Harrison said:

“We are working with providers and partners to look at options and ideas to work more efficiently and promote people’s safety should we not manage to recruit more people to the sector.

“A system plan is in place with short, medium and long term actions to address issues relating to workforce, which includes capacity for registered manager support to care homes, recruitment to reablement, and recruitment to NHS posts to ensure sufficient intermediate capacity is available to meet the growing demand.”

Compulsory covid vaccines make recruitment harder, say district care homes

Some Harrogate district care homes have said making covid vaccines compulsory for care home staff will make recruiting new staff even harder.

Recruitment in the care sector is “at crisis point” and some of those working in the field say the government’s decision, that comes into play today, has put care home staff in an unfair position.

Klara Spatenkova, home manager at the Manor House in Knaresborough, said out of 65 members of staff she’d lost four because of the new rule:

“At first, I felt like a lot of it didn’t make sense. We all have to be vaccinated yet all the visitors don’t. Just because of their personal views people are leaving jobs they have worked in for years.

“Out of 65 staff, four, is nowhere near as bad as other homes. We will always do our best to take care of our residents and give them the best care. That hasn’t changed it’s just been hard, it has definitely impacted recruitment too.”

The director of a home care group covering the Harrogate district said although the ruling doesn’t affect his staff yet he agrees recruitment will get harder.

Matthew Nutting works for Radfield Home Care and said:

“We are expecting the rule to affect domestic care staff by the new year. The recruitment challenge we face now is the worst I’ve seen in 15 years.

I think the new ruling is more destructive than covid itself because it reduces our pool of potential employees even further. It’s already reduced because of Brexit, covid but this will make it much worse.

“We need a dedicated action plan from the government to help.”

“Unfair” to only affect care home staff

But other homes said the impact has been minimal. Tracey Holroyd, chair of care home group Warmest Welcome which operates eight homes including the Crest in Harrogate and Westfield House in Killinghall, has only lost two staff members:

“I think a lot of it is down to geographical areas, we haven’t faired too badly but I know others have lost more staff. I don’t think it has had a huge impact on recruitment for us it’s just a bit unfair its not the same across the health service.”

Health Secretary, Sajod Javid, has confirmed this week that covid vaccines will become compulsory for all NHS workers. He said it is likely to be enforced by April.

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Barchester runs Thistle Hill and Boroughbridge Manor care homes. A statement from the group said the new ruling won’t impact these homes as those who refused the vaccine left months ago:

“Months ago we took the decision that staff working in a Barchester care home must be vaccinated. As a result we are well-prepared ahead of the deadline and we have seen strong uptake and positive engagement with the covid-19 vaccination.

The deadline tomorrow will not impact our homes locally as any employees that refused the vaccine left months ago and no one has been hired without being vaccinated or medically exempt.”

Harrogate district care homes fear job crisis over mandatory jabs

Care homes in the Harrogate district have sounded the alarm over a looming recruitment crisis over mandatory coronavirus vaccinations for staff.

Government legislation requiring all care home staff and volunteers to have had both jabs comes into force on November 11.

With the date approaching, the health watchdog Healthwatch North Yorkshire conducted a survey of 16 care homes in North Yorkshire and York about the impact of the legislation.

Most care homes supported the sentiment but expressed concerns about its impact.

The social care sector was experiencing staff shortages pre-pandemic and there are concerns that after a tough couple of years, mandatory vaccines will create another recruitment barrier.

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One care home told Healthwatch it expected to lose staff; another said it had been forced to turn down candidates and a third said it had created a bureaucratic burden on already overstretched staff.

The Coach House Nursing Home in Ripon said in the report:

“I do not agree with making vaccinations mandatory just for those working in a care home, while leaving it entirely open to any friend or relative of a resident to visit without vaccinations.

“This is yet another recruitment hurdle for providers to try to overcome along with the additional administrative burden in policing, enforcing and maintaining records of compliance.

“The impact of this legislation could be huge and widely felt, restricting agreed contractors, maintenance and servicing personnel, along with the effect on the hospitality side of care homes.”

Ashley Green, chief executive of Healthwatch North Yorkshire and Siân Balsom, Healthwatch York manager said in a joint statement:

“The concerns we’ve heard from care home managers aren’t a surprise, but some are very stark in their warnings of the impact of mandatory vaccinations.

“Care homes we spoke to question the decision where all healthcare staff and care home visitors don’t have to be vaccinated. There was strong sentiment that this is being seen as further unfair treatment of an undervalued sector.

“There is an irony that while almost all the care homes we spoke to recognise the importance of the vaccinations to protect vulnerable people, the new rules might put residents at risk due to staff shortages and low morale.”

Most acute recruitment crisis ever

The National Care Forum, which is the membership organisation for not-for-profit organisations in the care sector, has today written an open later to the government asking for support with what is describes as the worst job crisis in the sector’s history.

MHA, the UK’s largest charity care provider which has two care homes in Harrogate, is among the signatories of the letter.

The letter said:

“This is the most acute recruitment and retention crisis that we are aware of historically.

“It is the result of many years of underfunding in the sector, compounded by a number of other factors.

“That is including some staff exhausted from the pandemic and others moving to the NHS due to different approaches on mandatory vaccine regulations.”

The NCF called on the government to offer a retention bonus to care staff, welcome staff from overseas and launch a national recruitment campaign.

Harrogate woman in dispute with care home over visits to 99-year-old dad

A Harrogate woman has spoken of her frustration after her application to become an essential care giver for her 99-year-old father was dismissed by his care home.

According to government guidance, essential care givers should be enabled to visit care homes in all circumstances, including if there is a covid outbreak.

But Judy Bass’ application to be an essential care giver for her father in The Granby care home, Harrogate, has not been accepted.

The home is not convinced Ms Bass, who isn’t included in her father’s care plan, meets the criteria.

This is once again severely limiting the amount of time she can spend with her dad, who will turn 100 next month.

Ms Bass said this was the “final straw” after months of infrequent visits and disagreements with the home.

Before the pandemic Ms Bass visited her father, Tom Wilkinson, every day and was therefore never included in his care plan. But since her visits have become less frequent she says his condition has deteriorated.

Judy Bass with her dad

Judy Bass and her dad.

She says it is important for her dad to have constant communication with his family due to his dementia. Currently Ms Bass sees her father for just 30 minutes, once a week.

She said:

“I’m at a loss. I just want to see my dad. It’s very draining on us all, it’s so upsetting. He’s just lying there alone once again. I just can’t understand why they can’t see how essential my visits are.”

She said the lack of contact was affecting her health because she can’t be there for him all the time.

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The home is scheduling a meeting with Ms Bass to review her father’s care plan. Those at the meeting will decide if Ms Bass’s support would improve Mr Wilkinson’s health and wellbeing and, if so, essential care giver status could be reviewed.

A spokesperson for Four Seasons Health Care, which owns the home, said:

“We fully understand how difficult it is for all loved ones at this time and our absolute priority is to care for the health and wellbeing of every resident.

“The Granby is currently in outbreak status and is following the government’s guidance on providing window visits and video calls.

“Our hard working team members are doing everything they can to ensure residents and relatives stay connected during this time, including providing essential care giver status where this is in the best interests of the resident.”

Union criticises Harrogate district MPs for backing compulsory vaccines

The trade union Unison has criticised MPs in the Harrogate district for voting in favour of compulsory vaccinations for care home staff.

MPs voted through plans to make it mandatory for staff who work in a Care Quality Commission-registered care home to have two jabs of a covid vaccine unless they have a medical exemption.

It will become law from October after the House of Commons last night approved the regulation by 319 votes to 246.

The district’s three Conservative MPs, Andrew Jones, Julian Smith and Nigel Adams all voted in favour of the move.

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But the North Yorkshire branch of Unison tweeted:

“Concerning that Conservative MPs in our area voted to allow the state to mandate vaccination.

“We encourage all our members to get vaccinated, but making it law is not the way a liberal democracy should operate.”

Concerning that Conservative MPs in our area voted to allow the state to mandate #vaccination. We encouragr all our members to #GetVaccinated but making it the law is not the way a liberal democracy should operate. @nadams @AJonesMP @kevinhollinrake @RishiSunak @JulianSmithUK https://t.co/usBHo7oKvj

— North Yorkshire UNISON (@NYUnison) July 13, 2021

Unison was responding to a tweet by Rachael Maskell, the Labour MP for York Central, saying care staff “need respect” and she objected to mandatory vaccines.

She said:

“This authoritarian state is encroaching on human rights of others. What next?”

Some rebel Tory MPs said the government should have published an impact assessment before the vote, which ministers said was “being worked on”.

William Wragg, Conservative MP, said he was “in despair” and that the government was “treating this House with contempt”.

Care minister Helen Whately said managers could discuss the vaccine with staff or look at alternative roles for those who did not want to be vaccinated.

The Stray Ferret approached all three of the Harrogate district MPs for comment, but received no response.

Will compulsory care home vaccines cause staff shortages in Harrogate district?

The Harrogate district has a third of the 235 care homes in North Yorkshire, so government plans to make it compulsory for all care home staff to be vaccinated could have a significant impact locally. Tracey Holroyd, chair of care home group Warmest Welcome, which employs 230 staff and operates The Crest in Harrogate and Westfield House in Killinghall, writes about the issue and the wider challenges of running a care home in the pandemic.

There has been considerable debate recently about the issue of vaccinating staff in care homes. There are concerns some staff won’t agree to have the jab and consequently there could be staff shortages.

I’ve asked all the managers in our group and none of them say they are anticipating a problem as the take-up of the vaccine in our group has been good. We now establish that all new employees should be prepared to have the vaccine before we offer them a job as well.

I have colleagues in some geographical areas where staff of different ethnic backgrounds appear to be less happy about having the vaccine. For those homes it could be a big problem, as it’s already very difficult to recruit staff without making more barriers. But I don’t foresee it being a problem for us.

As far as I’m aware, only a couple of the 230 staff in our group don’t want it. One of them is terrified of injections. We’ve tried distracting her, promising her cake/alcohol but she nearly fainted when she saw the needle, so I don’t actually think that her refusal is anything to do with covid at all. The others are actively trying to become pregnant and so who can blame them? All the staff at Westfield in Killinghall are now vaccinated and happy to be so.

More to the point, why does this only apply to care home staff? Why doesn’t it also apply to NHS and domiciliary care staff? I don’t understand the logic behind this, if indeed there is any.

Recruitment problems

It’s already difficult to recruit in the care sector. The issue of vaccinations is not the problem; it’s a general lack of interest in people wanting to work in a care home. This is a national issue, rather than a local one, and if you want to recruit a qualified nurse it’s even harder

Another problem looming is that the Care Quality Commission, which regulates health and social care in England, is now due to release care home names and numbers of covid deaths.

The care home community is not happy about this — especially homes that put themselves forward as covid units, as their figures will naturally be very high. The numbers will also be higher for nursing homes than they are for residential homes, as their clients are much more poorly to start with, so are likely to have higher death rates.

The NHS is also asking us to encourage staff to take holidays now as they’re anticipating a spike in covid in September, which also makes me nervous, but we will see, I suppose it’s not guaranteed to happen. Being a care home operator in a global pandemic is exhausting and stressful!

Harrogate pupils tackle loneliness with letters to care homes

Pupils from a Harrogate infant and junior school have written letters to people in care homes to help combat loneliness.

Saltergate Schools partnered with Vida Healthcare to send the letters to care workers and residents in its two Harrogate homes.

Its initiative was a part of Loneliness Awareness Week, which began on Monday and aims to tackle the stigma around loneliness by getting people to talk about their feelings.

The care homes, Vida Grange in Pannal and Vida Hall in Starbeck, were also decorated with butterflies crafted by the students.

James Rycroft, managing director at Vida Healthcare, which specialises in caring for those with dementia, said:

“We are so pleased to have had the support this year from Saltergate Schools to make our staff and residents feel extra special. The butterflies look fantastic and our residents and staff have all been really touched by the handwritten letters.”

Studies have shown that people in care homes are twice as likely to feel lonely as those in the wider community.

Linda Mortimer, headteacher at Saltergate Schools, said:

“Loneliness Awareness Week was the perfect opportunity for us to give back to our local community and educate our children about loneliness.”

“Accepting that we all feel lonely sometimes is an important lesson and learning what we can do to help others and ourselves manage feelings of loneliness is critical.”

The Marmalade Trust hosts the annual Loneliness Awareness Week, which more than 20,000 charities got involved with last year.

Visit its website for information and support.

Andrew Jones urges care minister to ease ‘restrictive’ outdoor guidance

Harrogate and Knaresborough Conservative MP Andrew Jones has urged care minister Helen Whately to review care home guidance on outdoor trips.

The guidance says residents that leave homes must isolate for 14 day except for medical appointments or exceptional circumstances.

It has been widely criticised nationally and locally, including by care home residents, the Bishop of Ripon and the director of health and adult services at North Yorkshire County Council.

Nick Moxon, 32, who has cerebral palsy and is a resident at Disability Action Yorkshire‘s care home on Claro Road, Harrogate last week told the Stray Ferret he feels “trapped” and “treated like a lesser being” because of the guidance.

Now Mr Jones has described it as “too restrictive and not in the best interests of the health and wellbeing of our care home residents” and urged Whately to act.

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Mr Jones revealed the news not on his official website but on Community News, a website he runs featuring local Conservatives.

He said “slow but positive improvements” meant care home residents could now receive two nominated visitors and hold hands with them

But he added the same could not be said for outdoors visits, which particularly impacted younger care home residents:

“New guidance says that when they leave their homes for any reason, as they often do to exercise in the fresh air, they must self-isolate for 14 days thereafter. This is said to be necessary to keep other residents safe.

“Whilst I support the government’s motive, this is undoubtedly too restrictive and not in the best interests of the health and wellbeing of our care home residents.

“I have written to the Minister for Care, Helen Whately, to ask for the guidance to be reassessed and reconsidered and I hope this will be acted upon quickly.”

 

 

North Yorkshire health boss challenges care home isolation guidance

A local public health official has challenged the government over new care home guidance, which he has condemned as a “backwards step”.

The new guidance tells residents to only leave care homes for medical appointments or in exceptional circumstances. On their return they will need to isolate for 14 days.

Richard Webb, director of health and adult services at North Yorkshire County Council, has raised his concerns about the new guidance with the Department for Health and Social Care.

He believes that residents should be able to leave care homes.

Mr Webb said:

“The government guidance is quite restrictive about people in care homes taking trips out. We felt that was a backwards step.

“If you live in a care home you are entitled to get some fresh air. We were a bit disappointed to see some further restrictions. We have raised that with the Department for Health and Social Care.

“As long as it is done safely we would like to see people enjoy the spring sunshine as the rest of us can. Hopefully that will be looked at and we can give some better news in the future.”

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This comes as residents at a care home on Claro Road, which is run by Disability Action Yorkshire, said they will defy the guidance as it was a “clear breach” of their human rights.

Jackie Snape, chief executive of the charity, has written to Harrogate MP, Andrew Jones. She warned him that he will receive furious e-mails as a result of the guidance.

She said:

“For the people that live at 34 Claro Road this is devastating. They are young people who just want to have the same freedoms as everyone else.

“They are seeing pictures of groups enjoying a beer outside the pub and they are being told they can’t even go for a walk around the block.”