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Carers UK Forum • Can a care agency refuse to use equipment implemented by OT - Page 3
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Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 3:17 pm
by Melly1
Sal,
since the carers main aim seems to be to be in and out as quickly possible, I can't see them not wanting to use the shower chair, nor the manager not adding it to the care plan.

I hope you find a better agency and get the new package in place asap. Agencies vary so much and the attitude of the managers filters down.

Melly1

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 3:26 pm
by Sall the Bibliophile
Melly I don't know how to change agencies, the social worker who deals with Nan is on leave, nobody else will speak to me and as Social Services pay I don't think I can just call around and find another can I? It really would make things a little quicker so I really hope your right...Monday is the decision day so until then we just have to wait and see which is the hard part.

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 4:57 pm
by Melly1
Hi Sall,
Think carefully how you "sell" the idea to the care manager. Shouldn't have to be the case, but seems like it is.

In our area, social care use a broker who circulates the care package requirements to agencies on their books (agencies purely selected because they are cheap, regardless of CQC rating ...) Our first agency using this system was fine, turning to very good with a change of manager. They were unfortunately part of a National chain that went bust. I think the only way social care would agree for you to select the agency yourselves would be if you switched from commissioned care to direct payments. This would give more choice - but as most social care departments set a limit on the amount they are prepared to pay, this in turn would limit your choice. No harm in ringing around and finding out what the services and charges are and what rate the social care dept are prepared to pay. Commissioned services often cost the dept less as they get a deal from the agency.

Melly1

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 5:48 pm
by Sall the Bibliophile
I had a feeling I wouldn't be able to choose. We are waiting on more details on the direct payment system or PA but haven't yet heard anymore. I stupidly assumed that once the agency were not able to cover the care required social services hand would be forced but they aren't interested at all. My next move depends entirely on if they accept the shower chair and what their plans are in filling in the gaps where there is no cover. I fear I have been far too nice and understanding so now it's serious they won't take me seriously.

Thank you for your help it's really appreciated.

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 6:05 pm
by leah_1902
Sall the Bibliophile wrote:
Sat Oct 05, 2019 5:48 pm
I had a feeling I wouldn't be able to choose. We are waiting on more details on the direct payment system or PA but haven't yet heard anymore. I stupidly assumed that once the agency were not able to cover the care required social services hand would be forced but they aren't interested at all. My next move depends entirely on if they accept the shower chair and what their plans are in filling in the gaps where there is no cover. I fear I have been far too nice and understanding so now it's serious they won't take me seriously.

Thank you for your help it's really appreciated.
I recommend selecting a care company based on CQC rating rather than worrying about the price. You can call or email the provider to ask questions. Research care companies online. Have you had a social worker come out to your property to do a needs assessment yet or not? My advice is to trust your instincts and also read inspection reports carefully as well. You need to be able to trust the provider. Find out as much as possible about services. If possible, ask them to give you a complete list of clubs etc.

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 6:30 pm
by Sall the Bibliophile
Social worker is still on leave....hoping things change on monday on that front! I don't know of many companies around here so looking to see what's out there is a good idea. I cannot imagine them funding a high rating cqc inspected agency though and can't see at this point how we can top it up. ;)

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 6:42 pm
by leah_1902
Sall the Bibliophile wrote:
Sat Oct 05, 2019 6:30 pm
Social worker is still on leave....hoping things change on monday on that front! I don't know of many companies around here so looking to see what's out there is a good idea. I cannot imagine them funding a high rating cqc inspected agency though and can't see at this point how we can top it up. ;)
Why not? It is in their best interests to do so surely?!

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 7:46 pm
by Sall the Bibliophile
Well yes in theory it is but due to declining mobility we are having to argue for the duration of the shower to be increased. They want assessment from current carers and at least 2 of them say a shower does not take 45mins regardless of mobility so getting the hour long term is a struggle. The reason it needs increasing is due to cellulitis and a decrease in mobility due to edema and pre-existing joint issues that have deteriorated {TB, Arthritis etc}. If the carers won't support the lack of mobility and continue to take risks {showering before Nan is holding both grab rails so she isn't firm on her feet and is likely to fall/slip} then they won't increase the duration let alone pay more for a different agency.

I had a duty team manager do the shower a couple weeks ago and we timed it, it took 1hr 5 mins including hair wash...however the regular carers say 35min including hair is the maximum.

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 8:14 pm
by leah_1902
Sall the Bibliophile wrote:
Sat Oct 05, 2019 7:46 pm
Well yes in theory it is but due to declining mobility we are having to argue for the duration of the shower to be increased. They want assessment from current carers and at least 2 of them say a shower does not take 45mins regardless of mobility so getting the hour long term is a struggle. The reason it needs increasing is due to cellulitis and a decrease in mobility due to edema and pre-existing joint issues that have deteriorated {TB, Arthritis etc}. If the carers won't support the lack of mobility and continue to take risks {showering before Nan is holding both grab rails so she isn't firm on her feet and is likely to fall/slip} then they won't increase the duration let alone pay more for a different agency.

I had a duty team manager do the shower a couple weeks ago and we timed it, it took 1hr 5 mins including hair wash...however the regular carers say 35min including hair is the maximum.
Will the team manager’s opinion count or not?

Re: Can a care agency refuse to use equipment implemented by OT

Posted: Sat Oct 05, 2019 8:16 pm
by Sall the Bibliophile
Possibly, possibly not, it will depend on if they go with the majority.