More uselessness from DBC

[english zloty]

20 minutes ago, Catrisk said:

Surely the point of social housing that it should be exactly for these sort of people who fall through all the other nets. 

In terms of acceptance into their properties and provision of support where possible yes. However there is a very blurred and oft politically abused line whereby housing officers are assumed to be social workers. They are not. They have the training for early intervention (spotting the signs) but should never cross into trained social work territory. 

This is what Local Area Coordination will eventually do. Which is at the most basic 'know your customer' individually tailored support. All landlords will be anticipated to be part of that setup.

[english zloty]

15 minutes ago, Gladys said:

I have a little experience of this kind of situation.  A couple of years ago, someone with severe hoarding and simple hygiene  issues looked for help.  The crisis team was called, but no help.  A visit to the GP, no help, no psychiatric referral, although someone from social services was assigned to put a clear up plan in  place, with little 'wins' set. They visited weekly for about 6 weeks. 

After that, all was left as was.

Scroll forward 3 years and there is a call to emergency services by a concerned relative, door broken down and person found in need of emergency admission, badly injured after a fall.  Several weeks in hospital moved from ward to ward, including to RCH for 'rehabilitation', then back withon days for investigation of severe pain.

While in hospital, absolutely no intervention, psychiatric or dependency help, pleas to a dietician to help with  dietary supplements to assist with poor eating issues were ignored, even though in hospital and refusing food.  I took in some Slimfast shakes in an attempt to give some nutrition, the nurses thought that was a great idea, not that supplements should be provided by the dietitian. 

Eventually discharged and the re-enabling service engaged to visit and assist every day, they rattled the dietetic services to get some dietary supplements, despite initial refusal because they did not meet the criteria (getting this person mobile is a priority to help in rehabilitation, they will not be mobile if too weak), shook up the social housing provider to install a suitable shower, assisted with massage to reduce oedema to assist in mobility and have made a referral to Hospice for monthly visits to their oedema clinic.   This is after 5 weeks in hospital with swollen legs and not one health professional thought this may be an issue that can be easily assessed and a plan put in place while they are lying right there in the middle of a healthcare centre.

The support they are getting now is fantastic, useful and making a difference.  The support they had before being set on the right track and whilst in hospital was abysmal.  

Just shocking. 

Sadly not atypical, however at least being picked up through the safeguarding board more often before and not after the event. The safeguarding board is doing some excellent work 'directing' change in this space. Unfortunately it will take time, but such as the Suicide and Vulnerable Children and Adults Strategies  provide some hope for the future.

[WTF]

29 minutes ago, Gladys said:

I have a little experience of this kind of situation.  A couple of years ago, someone with severe hoarding and simple hygiene  issues looked for help.  The crisis team was called, but no help.  A visit to the GP, no help, no psychiatric referral, although someone from social services was assigned to put a clear up plan in  place, with little 'wins' set. They visited weekly for about 6 weeks. 

After that, all was left as was.

Scroll forward 3 years and there is a call to emergency services by a concerned relative, door broken down and person found in need of emergency admission, badly injured after a fall.  Several weeks in hospital moved from ward to ward, including to RCH for 'rehabilitation', then back withon days for investigation of severe pain.

While in hospital, absolutely no intervention, psychiatric or dependency help, pleas to a dietician to help with  dietary supplements to assist with poor eating issues were ignored, even though in hospital and refusing food.  I took in some Slimfast shakes in an attempt to give some nutrition, the nurses thought that was a great idea, not that supplements should be provided by the dietitian. 

Eventually discharged and the re-enabling service engaged to visit and assist every day, they rattled the dietetic services to get some dietary supplements, despite initial refusal because they did not meet the criteria (getting this person mobile is a priority to help in rehabilitation, they will not be mobile if too weak), shook up the social housing provider to install a suitable shower, assisted with massage to reduce oedema to assist in mobility and have made a referral to Hospice for monthly visits to their oedema clinic.   This is after 5 weeks in hospital with swollen legs and not one health professional thought this may be an issue that can be easily assessed and a plan put in place while they are lying right there in the middle of a healthcare centre.

The support they are getting now is fantastic, useful and making a difference.  The support they had before being set on the right track and whilst in hospital was abysmal.  

Just shocking. 

i'm glad they are finally getting the help they should have had years ago.

[Catrisk]

19 minutes ago, english zloty said:

In terms of acceptance into their properties and provision of support where possible yes. However there is a very blurred and oft politically abused line whereby housing officers are assumed to be social workers.

Why wasn’t this guy moved up to the new flats on Peel Road. Did someone think he’d make the place look a bit messy? 

[Gladys]

38 minutes ago, Jarndyce said:

This service sounds like the only one that's doing the business for the patient, since they managed to shake up and mobilise everyone else.   Are they Social Services, Primary Care - or what?

Not sure, but they are impressive with what they have achieved. 

[CallMeCurious]

59 minutes ago, Gladys said:

I have a little experience of this kind of situation.  A couple of years ago, someone with severe hoarding and simple hygiene  issues looked for help.  The crisis team was called, but no help.  A visit to the GP, no help, no psychiatric referral, although someone from social services was assigned to put a clear up plan in  place, with little 'wins' set. They visited weekly for about 6 weeks. 

After that, all was left as was.

Scroll forward 3 years and there is a call to emergency services by a concerned relative, door broken down and person found in need of emergency admission, badly injured after a fall.  Several weeks in hospital moved from ward to ward, including to RCH for 'rehabilitation', then back withon days for investigation of severe pain.

While in hospital, absolutely no intervention, psychiatric or dependency help, pleas to a dietician to help with  dietary supplements to assist with poor eating issues were ignored, even though in hospital and refusing food.  I took in some Slimfast shakes in an attempt to give some nutrition, the nurses thought that was a great idea, not that supplements should be provided by the dietitian. 

Eventually discharged and the re-enabling service engaged to visit and assist every day, they rattled the dietetic services to get some dietary supplements, despite initial refusal because they did not meet the criteria (getting this person mobile is a priority to help in rehabilitation, they will not be mobile if too weak), shook up the social housing provider to install a suitable shower, assisted with massage to reduce oedema to assist in mobility and have made a referral to Hospice for monthly visits to their oedema clinic.   This is after 5 weeks in hospital with swollen legs and not one health professional thought this may be an issue that can be easily assessed and a plan put in place while they are lying right there in the middle of a healthcare centre.

The support they are getting now is fantastic, useful and making a difference.  The support they had before being set on the right track and whilst in hospital was abysmal.  

Just shocking. 

The problem seems to be trying to find a professional in the system who is wiling to go to bat for a family. I was fortunate to have a friend with years of experince in UK social service and  healthcare who told me the procedures and phrases to use to get a relative the care they needed. 

Otherwise you are just a number and problem to pass onto to someone else as soon as possible.

 

 

[ian rush]

It’s a really difficult situation for the social workers, police, fire etc in cases where people have capacity (in the legal sense) to make bad decisions.

Edited March 8, 2023 by ian rush
Call changed to situation. There is no call if there is capacity.

[Gladys]

5 minutes ago, ian rush said:

It’s a really difficult situation for the social workers, police, fire etc in cases where people have capacity (in the legal sense) to make bad decisions.

True, but when attempts have been made for help and they are ignored, the net result is the person totally withdraws and the situation just worsens.  

The capacity to continually make bad and destructive decisions has to indicate that the capacity is dwindling.  I haven't described everything, just the highlights, but the situation could have been avoided with earlier intervention and support.  It would have probably been less resource hungry than the current situation.

As I say, the support now is very good and working.  It would have been better if it could have been accessed earlier, without the costs of a 5 week hospital stay and the opportunity cost of another bed occupied in hospital. 

 

[Roger Mexico]

1 hour ago, Jarndyce said:

1 hour ago, Gladys said:

the re-enabling service engaged to visit and assist every day

This service sounds like the only one that's doing the business for the patient, since they managed to shake up and mobilise everyone else.   Are they Social Services, Primary Care - or what?

A quick google seems to say that they're part of Adult Social Services.  The only query is that it is stated that the help is only available for up to six weeks which sounds like the service that was offered three years previously.  As so often it may just depend on the person doing it and how active they are.

[Mr Helmut Fromage]

Today I learned that William Kaye is Manx Gaelic for Mr Trebus.

[Gladys]

40 minutes ago, Roger Mexico said:

A quick google seems to say that they're part of Adult Social Services.  The only query is that it is stated that the help is only available for up to six weeks which sounds like the service that was offered three years previously.  As so often it may just depend on the person doing it and how active they are.

The service three years ago was once a week, the current support is daily.  Also, the support three years ago was basically setting a job to be completed by the following week.  The current support is everything from sorting out other support, to dressing a wound, and helping with mobility and motivation.  Very, very  different. 

[2112]

Todays Corpy nonsense as broadcast by the NPM - erecting a £10,000 barrier to pedestrianise North Quay. Don’t worry it’s not costing the ratepayers a penny! No it’s costing the taxpayers instead ……….£5000 from Starship Enterprise and £5000 from the Douglas Development Partnership (an offshoot of the Corpy). This barrier must be something special? Perhaps there is money to sort out their poor properties? 

[Banker]

7 minutes ago, 2112 said:

Todays Corpy nonsense as broadcast by the NPM - erecting a £10,000 barrier to pedestrianise North Quay. Don’t worry it’s not costing the ratepayers a penny! No it’s costing the taxpayers instead ……….£5000 from Starship Enterprise and £5000 from the Douglas Development Partnership (an offshoot of the Corpy). This barrier must be something special? Perhaps there is money to sort out their poor properties? 

Will it stop all the ignorant twat cyclists who constantly cycle through at speed weaving in & out of drinkers etc ?

[2112]

12 minutes ago, Banker said:

Will it stop all the ignorant twat cyclists who constantly cycle through at speed weaving in & out of drinkers etc ?

Probably not, but these people think they are immune from regulation and do what they think and like. It’s a small minority who spoil it for everyone. I thought there were bollards on North Quay, it’s obvious that it’s a pedestrian area. 

[Get a life]

42 minutes ago, Banker said:

Will it stop all the ignorant twat cyclists who constantly cycle through at speed weaving in & out of drinkers etc ?

If only it would stop twats like you commenting.