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Over third of GPs would not recommend their local care or nursing home to friends or relatives

Exclusive More than 35% of GPs would not recommend their local care or nursing home to their friends and family, and a fifth say they have witnessed care that risked their patient’s health, a Pulse survey shows.

The survey of 362 GPs shows deep-seated concerns about the care being given to patients in care homes, with one in 10 saying that the care of patients was either poor or dangerously poor.

The survey prompted GPC chair Dr Laurence Buckman to call for the Government to look ‘seriously and urgently’ at elderly care in the NHS, as GPs complained of medication errors, bewildered patients and, in one case, a dementia patient suffered a broken neck after she able to access a lift.

The news comes after a Care Quality Commission report published in February found about a third of hospitals and care homes were failing to meet minimum standards for nutrition and dignity in the elderly in hospitals and care homes in England is still not good enough.

Asked if they would recommend their local care or nursing home hospital to their own family or friends, 38% of GPs questioned said they would not, compared with 36% who would.

Some 22% said they believed that some of their patients had received care that has risked their health at the local care or nursing home to their practice, and 10% saying that the care of patients was either poor or dangerously poor, compared with 41% who said it was good or excellent.

Dr Andrew Mimnagh, a GP in Sefton, Merseyside said there had been two worrying examples of dangerously poor care at homes in his area.

He said: ‘We had an example recently that made the local papers. A lady with dementia was regularly accessing the lift. The lift defaulted to the basement. She fell down a flight of stairs and broke her neck and ended up in intensive care and died.

‘The care home owners were prosecuted and fined. After this, it was found that patients in other homes could access lifts- it’s significantly dangerous.’

He added that local investigation was ongoing about whether the overuse of antibiotics at care homes had led to an outbreak of Clostridium Difficile.

He said  ‘There’s an erroneous belief by staff about what can be dealt with by antibiotics. The homes aren’t managing symptoms of cough without fever, there’s a bit of doctor-shopping going on until they get the scripts. It’s an accumulation of repeated, minor infringements that causes substantive harm. It’s avoidable.’

Dr Peter Swinyard, chairman of the Family Doctors Association added that below par cleanliness and staff speaking a different language were common problems in nursing homes

He said: ‘If you were choosing a care home for your friends or family you’d want to sniff as you walk in. There is no excuse nowadays for a nursing home to smell of stale urine. You’d also want to talk to the people doing the daily care. Are they speaking English? If the carers talk in Philipino across the bed, it’s very bewildering for elderly confused patients.’

He added: ‘The present system is a bit broken. Anywhere will do sometimes. We have to remember that this is the patient’s home as well as their place of care.’

Commenting on the survey results Dr Laurence Buckman chair of the GPC, said: ‘Services for older patients are under mounting pressure as demand rises from an aging population at the same time as budgets across the NHS are contracting.

‘Given this environment it is not surprising that many GPs and patients are concerned about the standard of care older people are receiving, particularly in care homes.

‘The government must look seriously and urgently at how all parts of the NHS meet the challenges that lie ahead for caring for an older population.

‘It is particularly vital that vulnerable patients get a high standard of treatment in care homes that are not only properly funded, but also adequately regulated.’

An RCGP spokeswoman said: ‘If any GPs are aware that care is threatened, sub-standard or dangerous, for whatever reason, they have a duty to make these concerns known to those in charge to assess and, if necessary, act.’

 

How do you rate the care of patients at your local care/nursing home?

Dangerously poor- 1%

Poor- 9%

Average- 49%

Good- 37%

Excellent- 4%

 

Would you recommend your local care/nursing home hospital to your own family or friends?

Yes- 36%

No- 38%

Don’t Know- 26%

 

Do you believe that any of your patients have received care that has risked their health at the local care/nursing home?

Yes- 22%

No- 53%

Don’t know- 25%

Readers' comments (4)

  • Then where is the importance of CQC apart from earning £850 p.a..They insist on dubious laminated floors instead of carpets to show they are doing some work

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  • I have had a terible experience in Nusing home in farhham.A change in nursing staff akllowed immobilised patients not to be moved friom side to side to prevent bdsores.The GP ruling the patient demented did not allow her to acccess physiotherapy that resulted in thebedsore

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  • I am a care home owner (2 homes in Devon) and ex commissioner in the NHS and an active RMN. We are doing a lot of work locally aimed at enhancing and supporting the 2 new CCGs we serve and we are progressing a local dementia Quality Kite Mark which is gaining a lot of positive attention locally and nationally - this is a journey however !! we are not there yet for sure but the facts are
    1) we are in this together we need to share risk better and try to acknowledge that no one wants to do a poor job and we want happy residents and kind staff in our homes
    2) we must address the large numbers of older old people going into hospital too easily, staying too long, not doing well there and too many are dying there .
    we take this type of report very seriously as it damages our collective reputations we will be acting on this to redouble our efforts to work on both the care we provide and the image and visability of our service.

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  • This is just the availability heuristic in action.

    Most care homes are satisfactory and a few are great and a few are bad.

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