Care, Quality and
Commissioning or what a
difference a year makes…
Jill Manthorpe
7th November 2011
About us….
http://www.kcl.ac.uk/schools/sspp/interdisciplinary/scwru/
2-Jul-16
2
What the papers say...
 ‘Hospital suspends staff following BBC
Panorama investigation’, Nursing Times, 1
June, 2011.
 ‘CQC finds older people not assisted at
meal times’, Nursing Times, 3 June 2011.
 ‘DH review will consider national lessons
from Winterbourne’ Nursing Times, 27
June 2011.
 'Box-ticking care home watchdog put
elderly at risk': MPs say commission is
more interested in paperwork than safety’,
Daily Mail, 14 Sept 2011
 ‘Hit squads to swoop on 500 care homes to
root out neglect and tackle abusive
treatment’ Daily Mail, 26 October 2011
2-Jul-16
3
Care in the community
 ‘100,000 elderly and disabled victims of
suspected abuse’ Daily Telegraph 3
November 2011

 ‘Sheltered housing residents living in fear
as addict returns’ Hull Daily Mail 5
November 2011

 ‘Behind The Headlines: Justice for the
disabled victims of hate crime’ Birmingham
Mail, 15 Sept 2011


2-Jul-16
‘Evil pair tortured disabled victims’, The
Shields Gazette, 5 Nov 2011
4
giving people names
 David Askew
 ‘case of vulnerable adult’
 Keith Philpott
 Shaowei He
 Christopher Foulkes
 Colin Greenwood
 Steven Hoskin
 Laura Milne
 Michael Gilbert
 Brent Martin
5
2011
Care oppositions
 Southern Cross v the righteous
 Care quality v easy to identify abuse
 Care inspection - fit or unfit?
 Care funding – someone else’s problem
2-Jul-16
6
2-Jul-16
7
ambivalence
 Needing to address ambivalence or ‘rust
from within’
 Who they house
 What they mean
 If avoided - a form of paralysis
2-Jul-16
Long Term Care Meeting
8
Holding ambivalence
 Do we want and need care homes?
 Are they homes?
 Care or nursing?
 Are they businesses? Institutions? Or Big
Society?
 Who is it we want to work there?
2-Jul-16
Long Term Care Meeting
9
Moving from normal and
neurotic ambivalence (Freud 1912)
‘A permanent co-existence
of a high intensity of
irreconcilable love and
hate is only possible
through the ‘involvement’
of a different psychic
register, the unconscious’.
Dagmar Lorenz-Meyer 2001
Meaning?
 Being less miserable
 Naming ambivalence
 Not sorting
 Peer counselling
 Being aware of the
feelings of others
 Thinking of scape-goating
risks
 Not ending of
ambivalence but thinking
about the real oppositions
2-Jul-16
Long Term Care Meeting
11
 Acknowledgements
 We acknowledge Department of Health funding of
the Unit. The views expressed in this presentation
are not necessarily shared by the DH
2-Jul-16
12