Diary of a Care Worker: Family Dynamics

Parents know how to say the right things. And if there’s nothing that can be said, a cup of tea is often next up!

So it can be hard on the children of elderly or vulnerable parents in later life when things change. Families have spent a lifetime learning all the little quirks of their loved ones. They know their ‘tells’; when they’re in a good mood – and when to run for cover 🙂 

But medications, conditions and loss can change a person, their preferences and importantly, their needs. That’s tough enough for some. And then there’s us – the care workers – in the mix, too. Sometimes we’re considered ‘angels’ – other times we’re not! However, we learn to take it all in our stride – mostly … 

Mothers and Daughters – and Care Workers

I used to work with a lovely lady, Elsie, and we got on well. Having broken her leg, Elsie’s had her daughter come to stay with her for a few weeks. She had told me that her daughter was ‘a bit of a worrier’, and so I left it to her to share that she had been up a step ladder, trying to dust the lampshade when she fell. 

As soon as her daughter arrived, I understood what Elsie meant. 

‘She needs more pain medication – what on earth will paracetamol do? Are you in pain mum?” 

“No, I’m fine, darling” 

“She always says that”, her daughter said, protectively: “She needs more pain medication”. 

And so it went on, with “She likes both sides buttered.” and “She drinks coffee, not tea”. Elsie was cutting down on butter for her cholesterol and had stopped drinking coffee to avoid nightly trips to the loo, so these were choices she had made. However, I understood that her daughter probably felt insecure about a stranger looking after her mother, and did my best to reassure her. 

After a week of trying to strike a balance, though, it was getting quite tricky: 

“She does the crossword on the back of the Sunday paper – doesn’t she get one?” 

Possibly tired of the questions, Elsie fired back: “Here’s a clue. Four letters; stresses me out when someone makes a lot of it. Rhymes with ‘bus’.” 

I admit I gasped a little. But in an effort to relieve the tension, I pulled a pile of Sudoku books out from Elsie’s drawer. “Your eyesight’s not as sharp as it used to be, is it Elsie? – but you go through these Sudoku puzzles like there’s no tomorrow!”. 

I like to think Elsie’s daughter realised then, that we really were on top of things – as the rest of her stay seemed to go pretty smoothly.

Finding a happy medium 

It can be hard to get the balance right when your client’s personal wishes and those of their loved ones don’t align. My advice to anyone starting out as a care worker is not to take things personally, and to think about what’s going through the mind of the family member, which could be anything from guilt, to worry and frustration – or something completely unrelated. Many of us would be exactly the same. 

At the end of the day, we are there for our client’s wellbeing, and when family members are there, we do what we can to help make things go smoothly. Niggles are usually ironed out when families see that their loved ones are well taken care of, and that they can trust us to do our job well. But if not, we have our own team to guide us on how best to handle such situations. 

There will always be challenging moments, though. On the morning Elsie’s daughter left, I found a Post-it note stuck to the fridge.

“Please leave the Sudoku books on her bedside table. She can’t see them in a drawer!” 

At this point, my own mother’s favourite phrase came back to me – right before I’d hear the kettle being filled for a cuppa:

“Keep the heid, darling; keep the heid.” 

How to be more Disability Aware in Everyday Life

When we talk of someone with a disability, what image comes to mind? Is it someone in a wheelchair? Disability comes in many guises, seen and unseen – and becoming more informed can help us to discern between what we think we know and what we should know about disability. 

As care professionals, we practice access and inclusion in our everyday lives. But is there more we can do to promote disability awareness? 

The answer is ‘yes’. But first, a very brief social theory lesson:

The Social Model of Disability suggests that a person is not disabled by their disability – but by society – in that it fails to meet their needs. This means that there are solutions out there – we can all do something to help improve how our society supports people with disabilities. 

But don’t get your picket board out of the cupboard just yet; think smaller, everyday things that we can all do easily. Here are some of them … 

Watch your language!

Of course, we all know the obvious things not to say – often bandied about in school playgrounds. But here are a few terms that you may not know about … 

  • Disabled toilet – the toilet is not disabled! Use ‘accessible toilet’ 
  • Disabled people – people are people first and foremost. Use ‘people with disabilities.
  • Wheelchair-bound – this is disempowering and suggests the person is ‘caged in’ when the wheelchair actually provides the freedom to get around. Use ‘wheelchair user’.  
  • Deaf – Deaf with a capital ‘D’ is often used by someone who identifies with the deaf community and may well use sign language, whilst ‘deaf’ may represent deafness and those with a hearing loss or who are hard-of-hearing. We tend to use ‘hearing impaired’, although this has problems too (see ‘impaired’) 
  • Blind – ‘Visually impaired’ is the term we tend to use, but not really preferred by the Blind community for the same reason as above. 
  • ‘Suffers from/afflicted with’ – again, disempowering. Simply say ‘has’ or ‘experiences’. 
  • ‘Impaired’ – this is a term used in the ‘medical model’ of disability. Although it’s widely used (visually impaired, hearing impaired) it’s best to find out what the person prefers to use. 
  • ‘Crazy/insane/mad/lunatic’ – Offensive. We never know what mental health issues someone we’re talking to may have; stay away from these words. 

Things to be aware of … 

Hidden Disabilities 

It’s common to hear tuts at accessible parking bays (again, not a disabled parking bay) and accessible toilets when someone who doesn’t ‘seem’ disabled uses them. But disability comes in many shapes and sizes, and are also the business of the person with the disability – no one else’s! Don’t judge without the correct information.  

Making Assumptions 

Stroke, epilepsy, diabetes and other conditions can sometimes make a person appear to be drunk without having had a drop of alcohol. Bear this in mind if you see someone struggling.

Someone with an amputation may have had a long time to work around everyday challenges. Ask or wait to be asked for help – don’t rush in with what you think they need – this can be disempowering and offensive, well-meaning as it may be. 

Someone who is deaf may have lost their hearing at an early age, recently – or simply never had it. Some may sign, some may lip-read and others may use a BAHA (bone-anchored hearing aid), have a combination of all – or none. Ask about their preferences – don’t launch into BSL or start speaking in slow motion!

Dos and Don’ts 

DON’T … 

…Over-e.n.u.n.c.i.a.t.e if someone is a lip-reader. Just speak normally and clearly. Also, be aware that beards can make things very difficult for a lip-reader – as can face masks!

…Finish the sentences of a person with a speech impairment. Wait patiently, and make them feel at ease whilst you do so. 
 

…Propel a person in a wheelchair (for example, across a street, over a curb) unless they ask you, or you have asked them if they need help.  
 

…Talk down to a wheelchair user; speak to them at eye level, if you can; crouch beside them, kneel or pull up a chair 
 

…’Manhandle’ someone with a disability who has asked to be guided. Hold them (if safe to do so) by the arm and elbow; this allows them to sense your own body movement and to be more confident in their steps.

DO … 

…Ask! Many people with disabilities want to make it easier on others who fear ‘getting things wrong’, and will tell you their preferences.  
 

…Educate others! This is the one thing we can easily do to help make long-lasting shifts in how we see disability. 
 

…Consult first with any friends with a disability if you’re organising a day/night out to ensure you meet their access/dietary needs, and to avoid embarrassment for the person if things need to be changed on their account later.  
 

…Always talk to a person in a wheelchair first if they have an assistant. NEVER talk over them. Sadly, this still happens a lot!

These are just little changes that we can make – but even small things can make a big difference for people with disabilities – and sharing your knowledge of disability awareness with others is a great start. 

Let’s make it happen!

February Newsletter

Listen to this newsletter as a podcast instead


Hi Everyone 

Here’s the latest news in 60 seconds. 

COVID

As the number of positive cases continues to reduce, restrictions are being lifted.  As of April 1st, all testing is planned to finish.  Exceptions to this will include social care staff and those who are deemed at risk.  This does not mean that COVID has gone, nor does it reduce the importance of immunisation.  Similar to influenza, COVID will continue to mutate and keeping your vaccination status up to date will help protect you from the worst of its effects. 

WELCOME

I would like to welcome all the new staff joining us.  As life starts to get back to normal, I hope we will see more people joining our award-winning team.  Why don’t you take some time to introduce yourself to new staff and welcome them aboard with coffee and a chat. 

ADVOCACY

Martin is our service user advocate, due to COVID he has been unable to progress as many initiatives as we would have liked.  Now with the lifting of restrictions Martin is keen to get more people access to smart tech via EHSCP.  If you would like to find out more about this please CLICK HERE to see Martins video. 

OPEN DAY

We would love for you to join us at our Quartermile Office between 1 and 3 pm on Wednesday the 2nd of March. The open day will give you the chance to meet the team as well as join us for drinks and snacks. 

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Whistle While you Work: The Power of Music in the Care at Home Setting

Music is well known for its therapeutic qualities; we all know it can soothe, motivate, and lift mood. But what happens to all of those wonderful musical memories if we can’t access them? They may lie dormant; rekindled only by a chance airing, maybe on the TV or radio. Such a shame!

We tend to stream our music now; CD sales are declining, and record players largely only the domain vinyl enthusiasts. Sadly, unless a person knows their way around mobile apps, access to their favourite tunes can be difficult. For most of us, we just wouldn’t be without music, but it has even greater importance for those who are vulnerable or spend most of their time at home. 

Music as Therapy

Music can not just be uplifting – it can have a powerful effect on our mind AND body. If you have ever watched ‘Awakenings’, you may have heard of Oliver Sacks, a respected neurologist, and prolific neurology writer. He was the doctor that Robin Williams played the part of in the film. Astonishingly, he discovered how music can help people with Parkinson’s disease-related conditions regain limb function by listening to music, which he termed ‘kinetic melody’. There has been ongoing research into the therapeutic power of music since, with well-known charities working to extol the virtues of a good tune, particularly for people with dementia and other life-limiting conditions.

Care workers have the power (and tech savvy!)

If you haven’t already, it’s a great idea to ask those you support about their musical preferences and if they have access to music. Perhaps there’s a CD unit or even a record player gathering dust in the house – lying dormant for the simple reason that it’s not plugged in! Furthermore, those who have a phone or iPad may only use it for making calls and don’t know that they have a world music library at their fingertips. Spend a little time helping them get their favourite tunes on, and well, if you know the words, have a sing-song whilst you work!

If you think this is something you can add to your wonderful list of talents as a care worker, check out Playlist for Life, a Glasgow Charity that seeks to help those who support others with the gift of music. 

Here at SCA, we say: “Bring back those warm memories of heydays, young love and boogie nights at the Palais!”

3 Key Qualities of an Inspirational Care Worker

Do you remember that special teacher? The one who went the extra mile with you, maybe gave you a few words of encouragement when you were struggling? Their name probably springs to mind straight away, regardless of the years that have passed since. We don’t forget these things.

As a care worker, you have the opportunity to be that person, every day. Maintaining a person’s wellbeing is not just about tending to physical needs. How we feel about ourselves, our situation and our circle of support are crucial to our mental health. And nowhere is this more true than in the case of those we support. 

Here are 3 key qualities that we think, make an inspirational Care worker.

…Takes time to offer choice

Choice, when we have it, gives us a sense of control over our environment. For someone who may have less control over their daily lives due to illness, mobility issues or memory impairment, even little choices – like activities, what to eat, and what to wear – can nurture and maintain that all-important sense of independence and with it, wellbeing.

  • Take time to offer choices wherever they arise. By investing a few more moments of your day to respect changing preferences, you reinforce the sense of agency of those you support.

…Makes the effort to build trust

At any age, we gravitate towards those we deem reliable and trustworthy. And feeling that someone is there to really listen to you, and to understand your needs is vital to our sense of self and self-worth. Perhaps it’s knowing how someone likes a biscuit to dunk in their tea, or that they always like their slippers next to the radiator before bed. Consistency is key! 

  • Be consistent in your approach and the support you give, wherever possible …and when you can’t, explain why and give reassurances for the next time.

…Brings a smile and a positive mindset

It sounds obvious – but make your visit a welcome one, where people know that they will be greeted with a smile and a friendly voice. Whilst we can all have ‘bad days’, it should never spill over into the care we give others. We are there to tend to the needs of those we support, and lending a friendly ear for a few minutes can help them to feel ‘heard’ and valued. 

  • Your pearly-whites and positive attitude can bring a little sunshine into a person’s home on darker days. Show them off – even when you don’t feel it:)

So, there you have it! Small things, perhaps, but these qualities make the difference between a good care worker, and someone who chooses to be inspirational in this incredibly important role. 

Like to know more about working with Social Care Alba? Why not get in touch!

Care Training, Workshops and Qualifications at Social Care Alba

Care worker? Love Learning? Then you’ve come to the right place! 

Working in care, you’ll encounter many scenarios where clients have a wide range of needs and preferences. Knowing how to work around these needs some quick thinking at times – and a firm knowledge foundation to work from!

At Social Care Alba, we provide a comprehensive range of social care courses and workshops – all to ensure that our staff are best equipped with the skills needed for their role. If you are thinking of applying to join our team, here are some of the learning opportunities we offer.

E-LEARNING: ONLINE CARE TRAINING

We offer a range of 30 e-learning modules to choose from. These courses are carefully selected to deliver 360º training on all aspects of care provision from a practical, values-based, and psychological perspective. We firmly believe that the best carers don’t just know ‘how’ to provide excellent care, but also the ‘why’ behind what they do, providing a safer and happier environment for both the client and for themselves as care professionals. Below is a list of our current e-learning modules …


SCA Courses

  • Infection control
  • Medication
  • Moving and Assisting
  • Nutrition
  • Food Hygiene
  • Promoting dignity
  • Communication
  • Adult protection
  • Record keeping
  • Person-centred care
  • Health and safety
  • Diversity and equality
  • Dementia
  • Continence promotion
  • Confidentiality
  • Assessing needs
  • Understanding challenging behaviour

IN-PERSON CARE WORKSHOPS

In addition to our online training, we also run in-person workshops to help staff build their care skills. Our staff find these sessions to be a great place to share their knowledge and experience with others as they learn. Current care workshops include topics from continence, dementia and medication, to moving and assisting, and are continually being reviewed.

CARE RELATED SVQ QUALIFICATIONS

Social Care Alba offers the opportunity to take on SVQs as you work with us, and we aim to be as flexible as possible to allow you to work around your studies and gain your SVQ qualification. Contact us to find out more about how we can support you to further your care skills.

HEALTH AND SOCIAL CARE: OPEN UNIVERSITY COURSES 

Staff can work and study locally with Edinburgh Napier University, The University of Edinburgh or Queen Margaret University depending on the courses they want to take.  (Current staff are doing degrees in Social Work, MSC in Social Care, MSC in Physiotherapy and many more!). We also link with the University of Tasmania for in-depth Dementia training. 
Social Care Alba aims to provide access to health and social care training that fits fully with the needs and career aspirations of our staff. If you’d like to get ahead in your care career, come work – and train – with us. Get in touch today!

Diary of a Care Worker: Dementia and Confabulation

I had just started out as a care worker, but the following story has stayed with me throughout the years as a warning never to make assumptions!

After a night of Googling, printing and cutting out pictures of a particular vintage car, I was quite pleased with myself. I had grabbed my new role as a personal care assistant with both hands, and was loving it. That day, I had found a nugget of new information from one of our lovely clients, James – a client with dementia; and I was excited to share the pictures with him.

Nurturing the Memory …

He had told me he used to own a very old vintage racing car, and described, with loving detail, the fenders on the side, the convertible roof, the outside spare wheel, and how he would pick up his girlfriend – later to be his wife – for a night out on the town. James was in his late 90’s and was lovingly referred to as a ‘cheeky chappie’ – always up for a little banter, but I hadn’t heard him speak of this car before, so I was naturally keen to nurture the memory.

I came in that morning, put the pictures in the photobook that a few of us had made as a visual aid, and made him a cup of tea. As he leafed through the pictures, he told me more stories of his adventures with this vintage vehicle, his wife of 60 years, and the fun times they had when they were courting.

Soon after, his wife returned from a grocery shop. She saw the photobook open on the table, displaying the pictures of this mean 1920’s dream machine.

“Why are these in here?”

I told her of our chat the day before, and how he had described days out with her on picnics, picking her up for nights in the dance hall, and driving through the countryside together in this wonderful car. 

She turned to me, with a hint of a wry smile.

“I think he’s talking about the car from Chitty Chitty Bang Bang, dear’.

Note to Self (and other care workers:)

Dementia can cause memories of people and places to become fuzzy, so the brain attempts to fill in gaps with relevant or similar memories. This can lead to false memories (confabulation), perhaps of well-learned facts or strong images from movies or books. It can be hard to strike a balance between ‘going along’ with what you suspect are false memories, and supporting them to find the ‘right memory’. But it’s all part of the learning curve as a care worker …with some steeper than others!

Strike a chord? Work and train with us! Social Care Alba is hiring.

Need Dementia support or to learn more visit Alzheimer Scotland or Dementia UK

5 Common Myths about Working in Social Care

With Social Care vacancies three times higher than in other sectors, there is great pressure to encourage people into the care profession. Yet, whilst much has changed over the years, many still hold a dim view of care work. So let’s address some of the most common myths about working in Social Care …

1. ANYONE CAN BE A CARER: 

Care workers have a huge responsibility towards those they support, and are expected to have a wide range of personal, professional and social skills, so there are high standards to be met. Further, qualifications are ALWAYS desirable, and mandatory training ensures that staff all have the same great foundation to build their care work skills on.

2. YOU HAVE NO CHOICE IN THE WORK YOU DO: 

Of course, there are tasks that are expected of the role, as with any job; however, employers have a responsibility to ensure the wellbeing of their staff and will do what they can to accommodate changes where needed. Care work involves a great variety of tasks and roles, and there are always ways of working around temporary situations where needed. Flexible employers make flexible staff!

3. TOO MUCH RESPONSIBILITY FOR TOO LITTLE PAY: 

This argument has come into focus for many frontline services as we grapple with the complexities of care in a pandemic. Whilst senior support assistants will, naturally have more pressing day-to-day decisions to make, all staff in the care profession are supported by watertight processes set in place to protect both them and the client, and will not be asked to do anything that they are not qualified to carry out. Further, whilst care work is aligned with other like services in terms of salary, there are many perks of the job which can make it the ideal role for someone looking for a rewarding, flexible career with access to learning and financial perks! 

4. IT’S A JOB TO ‘TIDE YOU OVER’: 

This is a bit of an oldie, which the field has worked very hard to change! Care work is no longer considered a ‘stop gap’ role – its long-term opportunities for career advancement, good rates of pay, and ongoing care training, make care work a worthwhile and rewarding life-long profession. It’s common for health professionals to take up care work positions – partly as it is so fulfilling, but also with a view to working into their retirement.

5. IT’S THANKLESS WORK! 

No job is without its ‘trying days’, and care staff currently find themselves under more pressure than normal due to the increase in demand (that’s where YOU come in:). However, care work is more than a job and brings many more personal benefits than financial security. More often than not, you will be seeing clients who are glad of your company, support and kindness – so whilst it may be challenging at times as a support assistant or team leader, thankless, it is not! Read some of our staff testimonials for an inside view of what draws people to the care profession.
So, good news for anyone thinking of a career change amidst the highest number of social care vacancies to date! However, if you’re still not sure, and would like to know more about the types of roles available and what they involve, get in touch. Social Care Alba prides itself on its reputation as an employer and is keen to support you from your application onwards. We’re here to help.

Care Stories: Caring about the Present …and the Past

Finding a pair of old army boots in a second-hand shop might not seem like a huge deal – but for a care worker who had been trying to boost the spirits of her elderly client, Bill – it was a game-changer.

As Bill’s dementia has progressed, Margaret had noticed that he had become increasingly depressed as his short-term memory was failing. She knew from photographs that he had served in the army, and when he was chatty, spoke fondly of it as a time when he felt he had purpose and a sense of respect.

On seeing the dusty black leather boots that Margaret had brought him, Bill started rummaging around in his kitchen drawer until he found a shoe brush and an old tin of polish. It was cracked and dried, but enough to make a start with.

That tiny gesture gave Bill a sense of pride as he buffed the boots ‘old school’ until they gleamed, and as he did so, talked about his time as a soldier, and later an architect, a husband and father (and, it turns out, a particularly talented Salsa dancer!)

Each time she came in after that, Margaret had plenty of chat to lift his spirits. The thing is, the boots were not the magic formula – her genuine interest in his wellbeing and compassionate care, were.

Care workers have to constantly be open to these opportunities to enrich the lives of those they support – and it’s not always about the ‘here and now’ or the tasks that they have on their list that day.

Sometimes, it’s about the ‘way back when’, or asking for opinions on things that matter, to remind our clients that their take on life is as important as it ever was.

Care Staff as Community ‘Connectors’

In the UK, we are not the best at building elderly inclusion into our communities – which is odd, when one remembers that our communities were built by those same people who now feel excluded. Our elderly are retired book-keepers, skilled tradespeople, doctors, writers, machinists – you and I – just a few decades in the future, but often disconnected from society – those with dementia, even more so.

Care staff provide part of that vital connection, ensuring that elderly people can feel connected again, perhaps also assisting them to lend their expertise in their communities through volunteering, or simply by enabling them to socialise with others.

Good care can keep a body healthy, but compassionate care can replenish the soul; that requires a special kind of person. And whilst care work is not for everyone, those who go into – and stay in – the profession for the difference they make to other people’s lives, are precisely the kind of carers that we will hope to have when we are a few decades down the line.

The Gift of Care – how Care Work brings its own Rewards

The season for giving and receiving is fast approaching!  So, as part of our campaign to promote careers in care, we think it’s the perfect time to talk about the more personal gifts and rewards of care work.  Of course, working in care can be challenging at times – particularly at Christmas – but what we give to our practice in care can bring its own rewards to both client and care worker, all year round! 

First, here are some of the personal ‘gifts’ that compassionate and attentive care can offer to service users, beyond the practical support we often think of when we consider care work… 

Gifts of Compassionate Care

Gift of Encouragement 

People are more likely to respond positively to the advice given by those they trust and like, and personal assistants often act as a bridge between treatments, family wishes and those of the service user. Through the rapports they build, care staff can gently encourage important positive changes, like following treatments, eating well, or taking light exercise, to improve the wellbeing of those they support. 

Gift of Company 

A study by Age UK suggests that nearly half of adults (7.7 million) aged 55+ have experienced depression. When we feel down, our perceived circle of support diminishes too; we can feel that we have very few people to call on, worsening our sense of isolation. Providing a friendly ear to listen, or a little burst of banter during what is, for a care worker, likely a very busy shift, can lift a person’s spirits and brighten the rest of their day. 

Gift of Dignity 

Dignity, of course, is a right, not a gift – but the fear of losing it can be a huge barrier for many when it comes to receiving care. Ultimately, care staff – from Personal Assistants to Team Leaders – are there to support a person to live as independently as possible, with the dignity and respect that we all have a right to.  However, very often it’s the small things that care workers do through their own compassion that boosts service users’ morale and enables them to reconnect with their sense of place in the world. 

The Rewards of Giving Care

By taking the opportunity to focus on your own self-development and growth, you’re more likely to feel fulfilled in your personal life as well as your professional life. And as a care worker, there is much more to the role than salary and security! Here are some of the more unspoken gifts that care work can bring to those who put their heart into their profession …  

The Gift of Gratitude 

We often complain about personal situations that we feel are unfair or unjust – it’s human nature. Working in social care, however, we are more likely to gain a wider perspective and a sense of admiration for those who stay strong in difficult circumstances, helping us to live with greater gratitude, and deepening our compassion for others. 

The Gift of Learning 

We never stop learning!  And aside from the great training that care staff receive, the act of working with such disparate personalities, and with a myriad of different needs can really help you to become a more practical and switched-on human being!  As you find solutions to everyday problems, and take on many new skills, you’ll also find much of what you learn to be useful and transferable to your personal life. 

The Gift of Giving! 

When we give ‘above and beyond’ our duties in care, it can be transformational; for us, those we support – and for other staff who will emanate you! Psychologically, the greater our investment in something, the more value it has to us on a personal level. In other words, the more we give, the more we care.  And whilst there will be good days and hard days as a care worker, knowing that your kindness and compassion, as well as your time, have made a real difference to someone’s life, can help make it one of the most rewarding professions around! 

These are just some of the many ‘gifts’ that come from working in the caring profession. Have more? Let us know in your application form – we’re hiring!