2007 DoH Collaborative Recruitment Solutions in Social Care - Getting and Keeping Your Workforce

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    DH INFORMATION READER BOX

    DEPARTMENT OF

    HEALTH STAT BOX

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    Foreword

    There is no doubt that the domiciliary care sector isfacing new challenges. People are living longer and

    want to stay in their own homes as long as possible.

    The government is just as keen to help them retain

    their independence. But to do this, older people

    and other vulnerable people with learning or

    physical disabilities need care and support. This is

    a very labour intensive sector; if we do not tackle

    the staffing challenge now, homecare services are

    going to be seriously affected in the future.

    This report looks at what individual organisationsare doing to address homecare recruitment and

    retention. It highlights the importance of

    collaboration across statutory and non-statutory

    providers in a fragmented sector where many small

    organisations struggle to compete. Case studies

    explain how collaboration in various guises can offer

    a range of benefits and meet specific objectives.

    The report outlines ways employers have successfully

    overcome barriers to recruitment, sometimes by taking

    a fresh approach to existing activities. A traditionally

    limited labour pool can be expanded by targeting

    younger people, overseas workers and marginalised

    groups. But attracting workers is only part of the

    challenge keeping them can be just as hard.

    Turnover of domiciliary care staff is 75% in some

    areas. So the report looks at how to make workers

    feel valued and stop leakage of new recruits.

    What many of these examples show is that thesimplest actions, like revising application forms,

    can make a big difference. And because they are

    drawn from real initiatives, they dont ignore

    potential obstacles. Instead the report identifies

    realistic ways around perceived barriers, such as

    the need for homecare workers to be mobile,

    or restrictions on employing under-18s.

    The report also addresses common underlying

    issues, such as securing funding for sustainable

    initiatives, and getting the level of buy-in requiredto make real changes. Its about being flexible and

    appreciating the potential scale of future problems.

    Only then can employers begin to invest the

    necessary time, thought and resources into

    adopting more innovative approaches now.

    These initiatives may not suit every homecare

    provider. Some, particularly efforts to make

    domiciliary care a more attractive career option,

    will take time to reap rewards. But this varied

    range of proactive and positive approaches is well

    worth sharing, and will save other organisations from

    starting from scratch. And it is a comforting reminder

    that you are not alone in facing the challenge.

    Ivan Lewis MP,

    Minister for Social Care

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    Increasing the pool

    Attracting young people

    Recruiting from marginalised

    communities

    International recruitment

    Promoting retention

    Training

    Career pathways

    Increasing job satisfaction

    Financial incentives

    Factors to consider

    Funding

    Staffing resources

    Wide-ranging support

    Communication

    Obstacles

    24 31 3037 3843

    Conclusion...................................................................................44Appendix.....................................................................................45

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    Chap

    ter1

    Introduction

    Background About this report

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    Introduction

    The aim of this report is to help tackle workforce

    recruitment and retention problems across the

    whole social care industry by highlighting examples

    of good practice where a collaborative approach is

    proving effective. There is a strong focus on

    domiciliary services, where severe difficulties are

    making it hard to increase current capacity in line

    with demand and are likely to impede the

    development of essential services in the future.

    Since nearly 70% of domiciliary care is nowdelivered by independent organisations, there is

    emphasis within the report on examples of

    collaborative working across statutory and non-

    statutory sectors that have resulted in mutually

    supportive and effective strategies for workforce

    recruitment, retention and development.

    The intention is to disseminate information about

    the various initiatives and strategies and about

    effective joint working in a range of different ways

    to ensure that schemes can be replicated without

    having to start from scratch and that the learning is

    available to help others setting up schemes.

    Background

    The growing need for social care

    Government policy over the last 12 years has been

    to support people in their own homes and in the

    community wherever possible, leading to

    considerable expansion of some social care services

    such as domiciliary care. This has been at the cost oflosing or reducing capacity in other services such as

    residential and nursing homes which, for the first

    time, have been required to limit their services onthe basis of needs assessments.

    The number of hours of domiciliary care delivered

    in a typical week more than doubled between 1992

    and 2003, reaching 3.4 million hours per week.

    Approximately 700,000 people a year now receive a

    domiciliary service, compared with fewer than half

    that number in care homes.

    There is still pressure from the government to

    increase the proportion of people supported at

    home. New targets are for social services to focus at

    least 34% of all older peoples services expenditureon home-based support by 2008. The 2006 White

    Paper Our health, our care, our say,1

    with its

    increased emphasis on choice and control for service

    users, will mean even more demand for home-based

    care.

    Staffing demands

    Domiciliary care, and all forms of care that support

    people in their homes and in their communities, are

    staff intensive. Far more people with mental health

    problems or learning disabilities now live in the

    community. Social care support services, expanded

    since 2003 as a result of the Supporting People

    programme to help vulnerable people live

    independently, are likely to be drawing on the same

    pool of potential staff as domiciliary care providers.

    The direct payment scheme of cash payments

    made in lieu of social service provision to individuals

    who have been assessed as needing services, is

    predicted to grow and may lead to further demands

    for staff. At this stage it is uncertain, however,whether the result will be a shift in workforce from

    formal domiciliary care organisations to working

    1Issues facing socialcare recruitmentand retention

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    individually, or whether the one-to-one

    employer/employee relationship will draw in new

    staff resources (including family members). Possibly

    both of these will result since domiciliary providers

    already report that they are losing staff to people

    who have moved over to direct payment

    arrangements.

    Funding arrangements

    Recent evidence suggests that funding shortfalls

    may be beginning to impact on demand,demonstrated by a reduction in the number of care

    packages for older people between 2003/04 and

    2004/05.2

    In residential care services, home owners

    report increasing referrals of more complex cases. It

    is likely that the real explanation is tightening

    eligibility and the concentration of available

    resources on intensive care packages. Nevertheless

    many authorities are sending out warning signals

    that settlement levels and the capping of council tax

    may lead to severe cuts in domiciliary care services

    and fewer residential placements in the future.

    Future capacity

    There are real questions about future capacity which

    need addressing urgently. The Department of Health

    (DH) has taken the lead on this with a number of

    different initiatives over the last few years. The DH

    has commissioned research3

    on attitudes to social

    work and social care and their image as potential

    careers and funded a 1.5m social care recruitment

    campaign. Despite a good response to the

    campaign, anecdotal evidence is that relatively few

    recruits have chosen to work in domiciliary care,

    probably because guaranteed full-time work is rarely

    on offer and because the pressure to work in the

    early mornings and late evenings, with little work

    available during the day, has proved unattractive.

    The national framework to support local

    workforce strategy development,4

    introduced by the

    DH in 2005, and other national initiatives are

    intended to stimulate innovative approaches to the

    productive use of available workforces in bothhealth and social care.

    Demographics

    Government policy has undoubtedly led to increased

    demand for social care, but demographic shifts also

    contribute to the need for growth in capacity.

    Growing numbers of older people,5

    and particularly

    those in the 80 and over age group, where

    dependency levels are known to rise sharply, are

    already having an impact on demand.

    In the future this trend towards an older

    population is likely to create huge pressure to

    provide additional services, though possibly this maybe mitigated slightly by the development of

    alternative forms of support like telecare and

    assistive technology. Expected increases in the

    average life expectancy of people with learning

    disabilities6

    will also add to pressures.

    While the proportion of older people in the

    population is increasing, there is both a

    proportionate and real reduction in people of

    working age.7

    There are worrying predictions of a

    growing gap between demand for home care and

    other community-based services and a dwindlingsupply of people to provide these services.

    Particularly alarming is the tentative projection8

    that

    at current patterns of care and recruitment, by 2014

    the supply of homecare workers will have dropped

    by 4% while demand will have risen by 18%. The

    UK Home Care Association9

    has reported a

    reduction in the number of recruits compared with

    an earlier study,10

    which may indicate that the gap is

    already opening up.

    The social care environment

    Since 1993 social care services have operated within

    both a market managed by local authorities social

    services departments and a context of assessment of

    needs. The imposition of eligibility criteria was

    intended to reduce markedly the demand for care

    home places, replacing them with services to

    support people at home. Effective management of

    the market was expected to result in increasing

    availability of home care, lowering or holding down

    costs, and improvements in quality as organisationscompeted for business.

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    It was thought that some of the increase in home

    care availability would result from care homes

    diversifying into home care and other community-

    based services, with their staff transferring relatively

    effortlessly to the different roles. This proved not to

    be the case but over the next few years large

    numbers of new organisations entered the market in

    response to growing opportunities.

    With no barriers to entry and the ease with which

    staff could then be attracted, service provision

    rapidly became exceptionally fragmented. Despitesome consolidation and a reduction in the number

    of providers with whom local authorities are willing

    to contract, this remains the case. There are around

    4,700 domiciliary care providers now registered with

    the Commission for Social Care Inspection, many of

    them very small.

    The role of the independent sector

    The independent sector traditionally offered very

    flexible services and also the opportunity to work

    flexibly. On the other hand, in domiciliary care, itcould not guarantee work and tended to pay only

    for actual contact time that the care worker spent

    with the service user. Independent organisations also

    operated as agents to introduce individual service

    providers to users who could directly purchase the

    service themselves or obtain the funding from

    charitable or other sources.

    Initially, choice offered by the governments policy

    for care in the community was widely interpreted as

    the choice to remain at home and, with little in the

    way of eligibility criteria and generous budgets,

    extensive support was available in many authorities.

    Since there was no charging, the private market for

    home care was unable to compete and virtually

    disappeared. Independent organisations became,

    and have largely remained, over-dependent on

    single, powerful local authority purchasers.

    So effective have local authorities proved at

    managing the market that independent providers

    have found it difficult to obtain prices reflecting the

    greater costs associated with building the moreprofessional, reliable and available workforces

    needed for large-scale contracted service supply.

    Both the pay and terms and conditions of people

    working in the independent social care sector are

    markedly poorer than for those working in the

    statutory sector.11

    The competition for recruits

    Relative economic prosperity and almost full

    employment in many areas mean that social care

    services are competing with many other

    opportunities for full and part-time employment forwomen. In some areas this has meant that

    employers have had to offer annual pay increases

    far higher than inflation. Services are still largely

    staffed by women although male recruits appear to

    be more readily accepted for support posts. The

    Commission for Social Care Inspection reports that

    vacancy rates in social care are higher than for all

    other employment sectors in England.12

    Training requirements

    Much of social care is now regulated, including bothcare homes and domiciliary care. Regulation has

    brought with it the requirement for workforce

    qualifications such as NVQs, which should, over

    time, lead to a more competent and professional

    workforce. Although training is an attraction to

    many people coming into social care, some 25% of

    care workers are known to be women aged 50 and

    over and among this group there is significant

    resistance to being required to train.13

    Many have

    already left the industry, even though employers

    have tended to regard their older workers as less

    likely to be among the 50% required to have NVQ

    level 2 by 2008 and taken a more relaxed view

    about registering them for NVQs.

    By 2007 all care workers in domiciliary services

    will be required to register with the General Social

    Care Council. While in the long term this may help

    to raise the status and quality of this form of social

    care work, it will immediately increase pressure for

    the whole workforce to acquire qualifications and

    may well be regarded as yet another hurdle.

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    About this reportThis study was commissioned by the National Older

    Peoples Programme of the Care Services

    Improvement Partnership (formerly the Department

    of Health funded Change Agent Team), in response

    to a growing awareness that the development and

    commissioning of diverse, innovative and high

    quality services was being impeded by the lack of

    staff to run them. CSIP is indebted to Lucianne

    Sawyer CBE* for her extensive research and for the

    first draft of this report; and also to Pauline Spencerwho helped gather and check the evidence. In

    addition, the National Homecare Council, which

    represents local authority provided and

    commissioned home care services, contributed to

    the early scoping of the project.

    Information about recruitment initiatives and the

    extent of collaboration was mainly gathered through

    a survey of all local authorities with social services

    responsibilities, strategic health authorities, primary

    care trusts, Skills for Care regional offices and

    Workforce Confederation regional committees.Additional projects were identified from published

    reports and articles, through responses to the letter

    sent to key stakeholders introducing this project and

    via a variety of other leads and introductions. In

    total around 90 organisations provided information

    at this initial stage.

    Of these, 30 organisations were selected, based

    on who their project was targeting, how much

    collaboration was involved and what strategies they

    had adopted, and asked for more details from a

    nominated contact. A semi-structured questionnaire

    was used for these interviews to ensure comparable

    and complete information was collected from each

    site. Other people and organisations also involved in

    the project were contacted for their views on some

    of the initiatives and independent domiciliary care

    employers questioned about their experience in

    developing appropriate workforces and the extent

    to which they felt that initiatives in their area had

    helped. Researchers and others working in the field

    of workforce development also gave their views.

    Note that the terms domiciliary care, home care

    and home-based care are used interchangeably.

    Where services or staff are described as in-house

    this refers specifically to directly provided statutory

    social care services.

    Good practice?

    It is not easy to say with certainty whether the many

    initiatives and innovative approaches to recruitment

    outlined in this report are really contributing to

    improvements in recruiting and retaining social care

    staff. For one thing, much of the work, such as

    raising the profile of social care, is long-term

    investment rather than offering immediate impact.

    Many of the projects were relatively new and most

    had not been formally evaluated at the time the

    information was gathered for this report. Inaddition, recruitment success varies geographically

    depending on a number of external factors, so what

    is successful in one area may not work elsewhere.

    Nevertheless, this report covers a variety of

    proactive, positive and exciting approaches that

    others may find interesting and helpful in improving

    workforce recruitment and retention. Contact details

    are included so you can talk to the people involved

    about their experiences in more detail, and whether

    their projects are proving successful.

    Some organisations are responsible for a number of

    initiatives referred to in different sections of the report.

    These are not cross-referenced because although part

    of an overall recruitment strategy, individually they are

    approaches that work on their own.

    1 | Issues facing social care recruitment and retention

    12

    * Lucianne Sawyer, CBE, president of the United Kingdom

    Home Care Association

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    Our health, our care, our say: a new direction for

    community services

    Department of Health Stationery Office 2006

    Referrals, assessments and packages of care

    Department of Health 2005

    Perceptions of social work and social care

    Department of Health/COI 2001

    National framework to support local workforce strategy

    developmentDepartment of Health 2005

    National Statistics website http://www.statistics.gov.uk

    Estimating future needs/demands for support for adultswith learning disabilities in England

    Institute for Health Research 2004

    The state of social care in England 200405

    Commission for Social Care Inspection 2005

    Philip Mickelborough at Laing and Buissons 2005

    Home Care Conference

    Who cares now? UK Home Care Association 2004

    Who cares? UK Home Care Association 2001

    Joseph Rowntree Foundation - various research findings

    The state of social care in England 200405

    Commission for Social Care Inspection 2005

    Who cares now? UK Home Care Association 2004

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    Notes

    One problem at present is the turnover of

    care workers chasing slightly higher wages

    being offered by another provider. They go

    round and round

    Recruitment and retention project officer

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    Chapter2

    Large-scale collaboratives Partnership working

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    Working together can be a worthwhile approach torecruitment, even if the organisations involved could

    be seen as competing with each other for staff.

    Collaboration can take many forms. It may be a

    formal agreement between a number of large

    organisations within a geographical area or a close

    partnership between smaller bodies, such as a local

    authority and an employer.

    Collaborative approaches are especially helpful in

    reaching disparate groups of people, for example, to

    raise the profile of social care careers among

    potential recruits of all ages. They offer practicalbenefits such as shared budgets and resources.

    Different organisations may be able to offer diverse

    experiences, knowledge and skills.

    This chapter looks at some specific examples of

    how large-scale collaboratives and partnership

    working between authorities and private employers

    can operate.

    Large-scale collaboratives

    There are large-scale collaboratives working in a

    number of areas, involving several authorities,

    independent providers and other organisations.

    Geographically these collaboratives are frequently

    based on the sub-regions of the national body Skills

    for Care, which works on behalf of social care

    employers to enhance the quality of staff and

    services in social care.

    In some cases it is the extent of collaboration

    across health and social care, rather than across

    local authority boundaries, which is effectivelydelivering the range of initiatives that are

    characteristic of larger groupings.

    There appear to be clear advantages from large-scale collaboratives in terms of the pooling and cost-

    effective use of resources, the potential for sharing

    ideas and the opportunities to improve

    communication and relationships across borders and

    across sectors.

    CASE STUDIES

    The Black Country Partnership for Care

    The Black Country Partnership for Care (BCPC)

    originated with authorities in Dudley, Walsall and

    Wolverhampton in response to concerns about theability of providers to meet NVQ targets within the

    required timescale. As a result, the partnership

    worked with the Learning and Skills Council (LSC)

    to develop a joint training programme, for home

    care staff in the independent sector to achieve

    NVQ2 in care.

    The BCPCs second initiative aimed to tackle the

    sectors inability to attract care staff. Through Skills

    for Care an employers group was formed which

    linked with Jobcentre Plus. A subsequent bid for LSC

    European Social Fund (ESF) funding led by Sandwell

    set up a project to recruit people who had been out

    of the workforce for some time and were new to

    care. It placed emphasis on recruiting people from

    deprived backgrounds.

    Providing support and pre-employment training

    has successfully attracted recruits to the care sector.

    The initial training and recruitment initiatives

    continue and new initiatives have developed as

    needs have been recognised.

    BCPC is now the sub-regional employerpartnership of Skills for Care in the west midlands

    region. Independent providers from all four areas are

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    fully engaged. Members of the BCPC board include:

    employers

    training providers

    the LSC sector skills manager

    local authority HR departments

    the COVE (Centre for Vocational Excellence)

    a health representative

    This collaborative is seen as very successful by both

    the statutory sector initiators and by independent

    employers. It is pulling people together and leadingto other projects. One big advantage is the potential

    for sharing resources one project manager for the

    whole training project over four local authority

    areas, and a full-time workforce development

    coordinator and administrator for the recruitment

    and other initiatives.

    Contact: Andrew Packer

    E-mail: [email protected]

    Phone: 01384 813131

    The Quality Care PartnershipThe Quality Care Partnership is made up of four

    authorities, Rotherham, Sheffield, Doncaster and

    Barnsley, the local Learning and Skills Council (LSC),

    Skills for Care and independent employers. Its board

    is employer-led but includes representatives from the

    other key organisations. Of the 600 independent

    providers in South Yorkshire, 400 are members.

    Initiatives developed through the Quality Care

    Partnership include:

    workforce planning

    the Future Carers training programme

    Ambition Health a two-year programme for

    NVQ3 candidates.

    One of the advantages of the collaborative is that it

    effectively divorces workforce and training issues

    from more contentious issues such as fees. Providers

    value the support they receive with recruitment and

    workforce development. The collaborative has

    helped build good relationships among the various

    organisations and trust between authorities andproviders.

    Contact: Trevor Hewitt

    E-mail: [email protected]

    Phone: 01226 772378

    East Riding Yorkshire Multi-Agency

    Workforce Collaborative

    The collaborative came about through fears that

    without a more proactive approach the skills the

    local authority would need to commission from the

    independent sector might not be there in the future.

    The intention was to create opportunities for

    independent employers to join in open, frank andpurposeful discussion of social care staffing

    problems among all partners. Some of these

    organisations had previously felt they were in

    adversarial relationships.

    The collaborative is chaired by the local authority

    and brings together a range of interests including

    employers, the NHS, training providers and the

    Sector Skills Council. It has led to investment in a

    number of activities to support recruitment.

    For example:

    independent providers are offered some shortcourse training on a par with the statutory sector

    the Council has been instrumental in

    coordinating a pilot investment in free distance

    learning

    events have been organised to support schools

    delivering vocational courses

    Job Centre advisors have been updated on

    opportunities in social care

    Contact: Jeff Wheelwright

    E-mail: [email protected]

    Phone: 01482 802415

    Contact: Jo Shores

    E-mail: [email protected]

    Phone: 01482 391164

    Health and social care in Cheshire

    In Cheshire collaboration between health and social

    care authorities has resulted in a proactive approach

    to workforce development, with strategic

    management, primarily between Cheshire County

    Council social services and NHS trust managers,recognising many shared issues.

    Strategic planning across health and social care is

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    beginning to happen. The county council has

    appointed a senior officer to liaise with health

    colleagues and organisations, while the strategic

    health authority has funded three posts, one in each

    locality, to promote joint workforce development.

    The Cheshire sub-region of the North West Sector

    Skills and Productivity Alliance is identifying policy

    drivers and ways to optimise available resources.

    The range of initiatives which have resulted from

    this collaboration include:

    careers development cadet/trainee programmes

    specialist diploma development

    supported training programmes

    supporting employers in provision of entry level

    NVQs (LSC-funded)

    an employment charter on employment

    opportunities for people with mental health

    problems

    international partnerships

    liaison with Jobcentre Plus

    job fairs, job shops, events and careers promotion changes to recruitment procedures

    role redesign and enhanced duties to make home

    care more attractive to potential applicants.

    A reference group across health and social care

    meets regularly to share information, developments

    and workforce issues.

    Contact: Colin Ashcroft

    E-mail: [email protected]

    Phone: 07957 140384

    Partnership working

    Some authorities are beginning to work in real

    partnership with local employers, recognising each

    others problems and working together to reach

    solutions. Some partnership work is directly

    concerned with recruitment and workforce issues. In

    other cases, although the focus might not be quite

    so clear-cut, there are obvious benefits in terms of

    recruitment or retention outcomes. As some ofthese examples show, supporting independent

    providers can happen in all sorts of ways.

    CASE STUDIES

    Improving commissioning in Trafford

    Twelve local employers are actively involved with

    Trafford Metropolitan Borough Council through the

    Trafford Homecare Improvement Partnership.

    Together they have developed a quality assurance

    framework against which services can be monitored.

    Performance-related commissioning has been

    introduced based on this framework and an

    enhanced rate for quality providers agreed.

    The commissioning officer role has been evaluatedand contacts made at operational level, formalised

    by using a standard pro-forma to record issues and

    solutions for both commissioning officers and home

    care providers.

    The authority reports that as a result of these

    changes:

    the workforce has been stabilised

    intensive home care packages have increased

    by 62%

    there is a growing trend for independent providers

    to recruit permanent staff and to appoint seniorhome care workers

    communication between commissioners and

    providers has improved considerably

    the quality of home care has improved

    the commissioning process has strengthened

    the home care market has stabilised.

    Contact: Linda Harper,

    Trafford Metropolitan Borough Council

    E-mail: [email protected]

    Phone: 0161 9121890

    Cambridgeshire workforce development

    Cambridgeshire, along with many other English

    counties, has experienced problems with recruiting

    and retaining staff within the social care sector.

    Some employers had vacancy rates of up to 20-30%

    and relied upon agencies to provide temporary staff

    cover. In order to address this issue a partnership has

    developed between the county council and local

    employers. Norfolk, Suffolk and CambridgeshireSHA, the independent sector, Jobcentre Plus and

    Connexions are also part of the project.

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    The councils workforce development team, which

    forms a part of the Disability Service, provides and

    arranges training for all staff, regardless of who

    employs them. The staff concerned provide social

    care services for people with learning difficulties,

    physical disabilities and/or sensory impairment.

    The independent sector and the department have

    also worked together via a training consortium to

    address training issues and to provide cost-effective

    and collaborative ways of providing training.

    A social care careers project was established bythe County Council and the SHA, led by a careers

    adviser, in order to address recruitment and

    retention issues. As a result, the following projects

    have been established and are now in the process of

    development:

    care ambassadors (staff who visit schools and

    colleges in order to promote career opportunities

    in social care and to enhance the work-related

    curriculum)

    developing local job role profiles

    training mainstream careers advisers structured work shadowing for adults

    a contact for members of the public interested in

    social care careers

    the development of a careers matrix.

    Contact: Adrian Key, Social Care Careers Adviser:

    E-mail: [email protected]

    Phone: 07765023882

    For information about the Training Consortium

    Contact: Jim Thomas, Workforce Development

    Manager

    E-mail: [email protected]

    Phone: 07766441810 or 01223 718291

    Supporting employers in Manchester

    Manchester City Council has recognised that

    providers may not have the resources to deal with

    personnel problems. The council offers licensed legal

    support through a specialist employment law

    consultancy at a cost per provider of 250 pa.

    For this they get: policy and practice updates

    vetting of HR paperwork, such as contracts

    a 24/7 helpline for advice on disciplinary, sickness

    and holiday matters

    a tribunal service.

    The authority uses the HR development grant to

    fund this initiative. It gives providers more

    confidence, enables them to nip personnel problems

    in the bud and also makes staff feel more valued.

    Contact: Gillian Bennett

    E-mail: [email protected]

    Phone: 0161 2196787

    Capacity building in Gloucestershire

    The ethos and operation of Gloucestershires

    Capacity Building Project, developed following a

    strategic review of future home care needs, was

    geared towards partnership working and included

    many recommendations to address local employers

    problems. An inter-agency workforce development

    group focuses on developing the private and

    voluntary sector.

    A domiciliary care forum meets every two monthsand there are more frequent locality meetings. An

    independent employer sits on the Capacity Building

    Project board and employers have been involved in

    discussions about issues like the restructuring of the

    in-house service and caseload sizes.

    The project has resulted in:

    An allocation of part of the HR development grant

    to pump prime contracted providers workforces

    through improved pay rates and training

    Under new contracts, rural areas attract a slightly

    higher unit price to take account of increased

    travel and time costs.

    A system which ensures that providers receive very

    prompt payments for a percentage of care

    delivered

    Joint programmes being developed around

    particular areas such as medication management

    A profile raising group using the councils media

    team to feed human interest stories to the local

    media, thereby promoting contracted providers

    Mechanisms to put people interested in social carework in direct contact with providers.

    2 | Working together

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    Recruitment remains very difficult in

    Gloucestershire but there are real hopes that these

    measures will pay off over the longer term and in

    the meantime there is strong commitment to

    greater openness and improved communication

    which, it is hoped, will lead to a more efficient work

    environment.

    Contact: Julie Walters

    E-mail: [email protected]

    Phone: 01452 425131

    or Contact: Bron WilliamsE-mail: [email protected]

    Phone: 01452 425180

    Involving service users in Somerset

    In Somerset partnership working includes service

    users. As part of a move to make the domiciliary

    service more user-centred, a group of service users

    older people and people with physical disabilities

    were involved in placing new contracts, including

    taking part in interviews with potential providers.

    The authority has built on its network of serviceusers and carers, strong relationships with providers

    and a long history of collaborative working.

    An industry group started a number of years ago

    has been revamped and renamed as Care Focus

    Somerset Partnership; it no longer focuses solely on

    training but also covers wider workforce issues such

    as recruitment and retention. All the relevant

    organisations were involved in the planning and are

    part of the partnership and, although this made the

    process slower, it was seen as a worthwhile exercise.

    Contact: Miriam Maddison

    E-mail: [email protected]

    Phone: 01823 356631

    What do care staff want?

    All of the foregoing emphasises the challenges that

    face the purchasing authorities and their providers

    and the importance of working in partnership.

    As well as having a clear view of future needs,

    successfully increasing the volume of care which is

    going to be needed will depend on taking into

    account what makes this type of work attractive to

    people and why they choose to remain in the

    industry, providing the vital life-blood of the service.

    Research has shown that what domiciliary staff

    generally like about the job is:

    the ability to forge good relationships with service

    users and being appreciated by them

    being able to respond flexibly to the needs and

    preferences of users and to use their own initiative

    having their views taken into account by thosewho are making decisions about service users or

    about how the service is provided

    working in a team

    good management support and being valued by

    managers

    good training

    development and career opportunities.

    What they often dislike is:

    job insecurity

    work, or amount of work, not guaranteed pressure to work at non-social times

    short visits

    not being paid for time spent travelling between

    service users

    split shifts with work often required in the early

    morning and late evening

    poor pay and terms and conditions

    perceived low status of social care work.

    Many of these attitudes may be shared by people

    working in other areas of social care.

    Although some of these factors will depend on

    individual providers and the way in which they run

    their organisations, many of them cannot be

    achieved by providers on their own. The way in

    which services are commissioned and the contracts

    under which they are provided will also influence

    the nature of the job and the terms and conditions

    on offer to care staff. Examples of this are provided

    throughout this report.

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    Cha

    pter3

    Developing a workforce strategy

    Raising the profile of social care

    Communication tosupport recruitment

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    Overcoming barriers to recruitment may be a matterof taking a more innovative approach to traditional

    activities rather than introducing something entirely

    new.

    This chapter looks at key steps in recruitment,

    including:

    developing a workforce strategy

    raising the profile of social care

    communication to support recruitment.

    Developing a workforce strategyDeveloping a workforce strategy needs to start with

    a thorough workforce analysis, looking at the local

    situation within the context of national data. Some

    authorities have recognised this critical building

    block and thought carefully about how to obtain

    the most complete picture possible of their area.

    As well as ensuring that workforce projections are

    as accurate as possible, there were reports that

    some independent providers reviewed and changed

    their recruitment strategies in the light of national

    data.

    Any strategy should also recognise potential

    barriers to recruitment. For instance, Criminal

    Record Bureau (CRB) checks are creating difficulties

    everywhere. People who apply for jobs in social care

    are usually in the position of needing to start

    earning money relatively quickly. Having to wait up

    to nine weeks for CRB clearance can be a major

    disincentive. Often potential recruits have moved on

    to other jobs by the time their clearance comes

    through, leaving employers to cover the costs ofrecruitment, the CRB check, and at least part of

    the induction.

    CASE STUDIESWorker appointed to help independent

    sector

    Barnsley Metropolitan Borough Council realised that

    they could not get a complete picture without

    assessing the present and future workforce across

    both the in-house and independent sectors. This

    proved difficult because the range and quality of the

    data held by the different players were extremely

    varied. Data were more readily available for the in-

    house service. Through the Quality Care Partnership,

    which extends across four South Yorkshireauthorities, they have now appointed a worker to

    assist the independent sector in collecting and

    collating workforce data including skill shortages

    and projected future needs. This information will

    feed into the regional Skills for Care network and

    form part of the national census as well as into

    Barnsleys workforce planning and strategy.

    Contact: Trevor Hewitt

    E-mail: [email protected]

    Tel: 01226 772378

    Annual review of data

    The Black Country Partnership for Care , supported

    by the Learning and Skills Council, has

    commissioned the collection of workforce data from

    independent sector employers. This review is now

    repeated annually by the Partnership. There is

    currently a project to implement the National

    Minimum Data Set across the Black Country led by

    BCPC.

    Contact: Andrew PackerE-mail: : [email protected]

    Tel: 01384 813131

    21

    3Approaches torecruitment

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    IT support for small providers

    Manchester City Council has recognised that if the

    workforce situation is to be resolved, technology

    needs to play its part. The council has provided local

    employers with computers, where necessary, and

    personnel software, and given them training so that

    they can collect data in a form most useful to the

    council. This is also seen as helpful to small providers

    that may not be IT aware. The approach is expected

    to greatly improve communication and has also

    helped take forward another initiative, the settingup of a care vacancy site.

    Contact: Gillian Bennett

    E-mail: [email protected]

    Tel: 0161 219 6787

    Raising the profile of social care

    Attempts to raise the profile of social care careers

    need to take into account what makes this type of

    work attractive to people and why they choose to

    remain in the industry. It helps to keep these factorsin mind when planning how to provide services and

    attract, recruit and develop a suitable workforce.

    The research into what domiciliary staff generally

    like about the job was listed on p.XX.

    There is certainly a need for social care to have a

    higher profile. But efforts in this direction should be

    sustained and fairly substantial if there is to be a real

    impact. Independent employers are very unlikely to

    be able to engage in effective profile-raising

    activities on their own since they will probably not

    have the necessary resources, and a collaborative

    approach is therefore important.

    Although in some cases the impact of an initiative

    can be seen quite quickly through an increase in job

    applications, the real value of raising the profile of

    social care may only be apparent over a much

    longer term as the idea of working in social care

    gradually becomes part of the normal spectrum of

    potential job opportunities.

    CASE STUDIES

    Using multi-media

    Oxfordshire County Council has used a multi-media

    campaign to raise awareness of the potential for

    working in social care, including:

    local radio and television

    the local press

    advertisements on buses

    information in community halls, doctors surgeries

    and libraries

    details at Jobcentre Plus and job fairs.

    Numbers of applicants have increased tenfold with

    this approach. Local radio has proved particularly

    effective. There is a link from the council website

    directly to local contracted employers who can

    provide information on their own employment

    opportunities.

    Contact: Joan Chattey

    E-mail: [email protected]

    Tel: 01865 815774

    Highlighting real roles

    Cambridgeshire County Council has produced locally

    focused career materials, which feature job roles

    across the social care sector. Each profile displays

    photographs of the staff concerned, and features a

    description of the job written by the member of

    staff being profiled. This information is now widely

    available throughout the county to young people

    and adults, and will hopefully encourage them to

    consider a career in social care.

    Contact: Adrian Key, Social Care Careers Adviser

    Email: [email protected]

    Tel: 07765 023882

    Educating job centre staff

    Sheffield City Councils locality manager has given

    talks about the social care sector to job centre staff.

    The council offers pre-employment training for

    potential applicants followed by four-week work

    placements shadowing existing staff, during which

    CRB checks are carried out.The council also successfully promotes social care

    jobs through local cinema advertising that runs

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    before the main feature. The cost is nominal and the

    long-running campaign gives a hotline number for

    further information. All initiatives carry the strap-line

    What do you do in the mornings?

    Contact: Helen Rowe,

    locality manager Care4You Service

    E-mail: [email protected]

    Phone: 0114 203 7107

    Communication tosupport recruitment

    Different methods of communication have a part to

    play both in raising the profile of the sector and

    recruiting to specific job vacancies. It is important to

    have well-designed and attractive recruitment

    literature that can come in many forms, from small

    eye-catching ideas to more detailed explanatory

    information.

    Advertising offers the most direct approach to

    attract new recruits; the majority of care workers

    find their job through newspaper or otheradvertisements.

    14

    Advertising may be another area of collaboration

    for authorities, particularly because it can be

    relatively cheap when done through the council

    website. It is possible to provide a direct link fromthe authoritys website into organisations that

    provide social care services on a block basis.

    Advertising can be very costly so it is important

    that expenditure is as cost-effective as possible.

    Advertisements and any specific recruitment

    literature must be appealing and relevant to the

    target audience or could end up a waste of money.

    The response people get when they enquire about

    care work whether as a result of advertising or

    anything else is also critical, and some authorities

    have taken action to ensure that all calls are dealt

    with in a positive and helpful way.

    Sometimes employers feel they have noalternative but to continue advertising even if they

    dont get a good response.

    But there are other approaches, such as job fairs.

    These need to be big and varied to attract people.

    Local employers may find that their own attempts to

    put on such events are ineffective, but have

    reservations about events where they are competing

    with in-house providers who are in a position to

    offer much better terms and conditions. And

    organisations which provide a service within a very

    local area could find that large centralised events donothing to assist their recruitment problems.

    It is worth remembering that every local authority

    has its own website, which can potentially be used

    as a recruitment tool, featuring specific vacancies as

    well as more general careers information.

    CASE STUDIES

    Library link-up

    Cambridgeshire County Council has joined with the

    local library service to produce a bookmark available

    free from all libraries. One side of the bookmark

    carries details of library opening times and related

    information while on the reverse is a message about

    careers in the care sector. It also gives the phone

    number for a contact centre so anyone interested

    can request an information pack or talk to someone

    about career opportunities.

    Contact: Adrian Keys

    E-mail: [email protected]

    Phone: 077650 23882

    Careers guide

    East Riding of Yorkshire Council, on behalf of the

    23

    People with qualifications

    are starting to choose where

    they want to work but terms

    and conditions, especially

    wages and annual leave, are

    the main factors.Organisations which pay the

    highest wages get the better

    choice of applicants.

    Workforce development officer

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    Multi-Agency Workforce Collaborative, has

    produced an attractively designed guide to careers

    in social care, social work and healthcare. It outlines

    job roles, provides a useful qualification grid and

    suggests ways into different career routes. The guide

    features illustrated examples of people currently

    working in social care and the jobs they do. This has

    now been complemented by a professionally

    produced DVD targeted at young people

    considering a career in social care.

    Contact: Jeff WheelwrightE-mail: [email protected]

    Phone: 01482 802415

    or Contact: Jo Shores

    E-mail: [email protected]

    Phone: 01482 391164

    Learning to get the most from ads

    In Cheshire, where there is a collaborative approach

    to workforce development across the strategic

    health authority, PCTs and local councils, a

    workforce conference included a workshop on howto get the most from advertising. It featured role

    play highlighting the approaches most likely to deter

    potential applicants and those more likely to engage

    them. The workshop was run by a national

    advertising agency contracted to Cheshire County

    Council.

    While a small independent organisation might not

    be able to provide training of this sort itself,

    authorities or employers working in collaboration

    could organise something similar as part of a joint

    workforce development event.

    Contact: Colin Ashcroft

    E-mail: [email protected]

    Phone: 07957 140384

    Care vacancy website

    The provision of IT hardware to independent

    providers in Manchester to assist with the collection

    of workforce data has also supported the setting up

    of a care vacancy site. This allows employers to

    advertise their vacancies and applicants to respondonline. Use of the webpage should also highlight

    problems such as providers who have consistent or

    substantial levels of vacancies.

    Contact: Gillian Bennett

    E-mail: [email protected]

    Phone: 0161 2196787

    Jobs and training website

    Oxfordshire County Council has a website aimed at

    employers and trainers that also highlights available

    job opportunities and offers job seekers direct links to

    local authority and/or independent sector employers.

    The site receives hits regularly (more than 2,000 inthe first few months) and covers different areas of

    employment, which means people not previously

    aware of social care careers may come across care

    sector information while browsing. The section

    specifically on social care has external links to further

    information and career paths.

    Care sector organisations meet regularly with the

    consultancy that project manages the website to

    ensure it provides what is needed.

    Contact: Joan Chattey

    E-mail: [email protected] 01685 815774

    City-wide job fair

    Manchester City Council hosted a big job fair,

    funded by the HR development grant. It was well

    advertised on the Metrolink public transport system,

    local radio, newspapers and posters. The event was

    held in Manchesters Town Hall and was attended by

    600 people, 70% of whom were local residents.

    There are plans for further events in other areas of

    the city, building on this successful approach, which

    resulted in one local employer receiving 27

    applicants.

    Contact: Gillian Bennett

    E-mail: [email protected]

    Phone: 0161 219 6787

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    25

    1 Who cares now? UK Home Care Association 2004

    Notes

    Pay is a major issue there is a conflict of

    interest in that care workers have to earn a

    living but providers have to remaincompetitive

    Independent employer

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    Chap

    ter4

    Attracting young people

    Recruiting from

    marginalised communities

    International recruitment

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    A common concern among social care employers isthat the relevant labour market is quite limited and

    we are all fishing in the same pool. Understanding

    this may act as a spur to working collaboratively to

    find solutions, rather than just continuing to

    compete for a dwindling supply of suitable staff; it

    may also lead to initiatives aimed at increasing the

    pool of available recruits targeting:

    young people

    people from marginalised communities (see p.27)

    staff from overseas.

    The choice of approach needs to be appropriate to

    the target group.

    Attracting young people

    Many authorities and social care organisations are

    doing their best to make sure that young people are

    aware of the potential for employment in social

    care, using a variety of strategies.

    A popular approach is introducing care

    ambassador schemes. The thinking is that young

    and personable staff already working in social care,

    and who are able to talk enthusiastically and

    positively about their own jobs, are in the best

    position to attract other young people into social

    care work. In most areas where this has been tried,

    there is great enthusiasm for the scheme.

    But school visits by care ambassadors require

    careful planning. Schools often want a session at

    9 am and may not understand that this is a difficult

    time for employers to release any staff. It helps ifschools talk directly to employers when planning

    visits.

    Another effective approach is to develop cadetschemes to attract young people into health or

    social care work. These usually consist of a

    combination of work experience placements and a

    part-time college course, normally leading to an

    NVQ at either level 2 or 3.

    Overall there is a lot of interesting work going on

    with schools in many areas, such as:

    ensuring that school careers advisers are well

    briefed on social care opportunities

    attending school careers events

    developing material like CDs especially for usein schools

    supporting teachers delivering the GNVQ in

    social care

    providing supported visits for teachers.

    Potential barriers

    The commonly held belief that the Commission for

    Social Care Inspection (CSCI) insists that people

    must be aged 18 and over to engage in direct care

    duties, specifically personal care tasks, often leads to

    concern that this creates problems in retaining the

    interest of the 16+ group until they reach 18. As a

    result many initiatives aimed at attracting younger

    people are not delivering any new recruits into

    home care posts.

    This mythical age barrier is seemingly the reason

    there are not many examples of well-developed

    apprenticeship schemes in the social care sector. For

    instance, Norfolk County Council first targeted 17

    year olds, but raised the age to 18 because of the

    anticipated CSCI response. There are cases ofauthorities being unable to attract sufficient young

    people into care work but able to recruit them as

    27

    4Increasing the pool

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    apprentices to administrative jobs.

    CSCI guidance (see Appendix) makes it clear there

    is no such ban, although there is a need to ensure

    that younger people have undertaken the essential

    training required for all recruits.

    Of course there are other aspects of home care

    which make it difficult to employ young people, one

    of which is the need in most cases to be a car driver

    and have access to a vehicle. Another is the fact

    that care workers usually work on their own in

    service users homes. There is apparently a growingneed for two-handed visits as increasing numbers of

    people with very high dependency levels are

    maintained in the community, so that one option

    may be to employ younger recruits to travel and

    work in tandem with an experienced worker

    providing such visits.

    Structuring frontline staff so that there is a small

    team within a given area, together with a senior

    care worker who has a supervisory role, may also be

    a way of ensuring that younger workers have

    adequate support, but this does depend on whetheror not commissioning delivers viable caseloads to

    enable providers to focus on specific localities.

    CASE STUDIES

    Integrated approach

    In 2003 Stockport Metropolitan Borough Council

    had no initiatives targeted at young people.

    Statistics showed 600 young people enrolled on

    health and social care courses in the area but this

    pool of potential recruits was being tapped only by

    the health sector. Since that time a schools and

    colleges liaison project has been set up in

    partnership with other stakeholders to develop an

    integrated approach to attracting more young

    people into social care.

    The project has adopted various strategies,

    including:

    influencing career choice among 14-16 year olds

    offering a range of work experience placements

    for 16-19 year olds

    a care ambassador scheme a care cadet scheme.

    There has been positive feedback from students and

    there is an expectation that some of them intend to

    pursue career opportunities within social care.

    Contact: Jane Connolly

    E-mail: [email protected]

    or Contact: Christine Ash

    E-mail: [email protected]

    Care Ambassador scheme toolkit

    Four authorities in the area have implemented Care

    Ambassador schemes based on a model developed

    by Skills for Care SW England in partnership withthe Dorset Care Association employers group. There

    is a toolkit available. In tandem with the schemes,

    handbooks for students, employers and teachers

    have now been developed as part of a structured

    work experience programme. There is also a care

    ambassadors website and plans for a DVD.

    Contact: Denise Harrison

    E-mail: [email protected]

    Phone: 01305 816080

    Mix of initiatives for schoolsCo-ordinated initiatives are supporting the school

    curriculum in Cheshire. These include talks in

    schools, attendance at careers evenings, work

    experience opportunities, specific localised

    programmes such as young apprenticeships and

    junior scholarships and pilots of specialist diplomas.

    Teachers and careers advisers are offered supported

    visits.

    A wide network of partnerships is also developing

    between the countys local authorities, PCTs, the

    strategic health authority academy, Connexions

    services, further education colleges, Education

    Business Plus and the Aim Higher project.

    Contact: Colin Ashcroft

    E-mail: [email protected]

    Phone: 07957 140384

    Recruiting frommarginalised communities

    There is a lot of exciting work being done to attractpeople who may never imagine (even if they knew

    about it) that they could get a job in social care, for a

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    variety of reasons. For instance, they may have feared

    exclusion on the grounds of age, lack relevant

    qualifications or skills, come from a socially excluded

    community or been unemployed over a long period. A

    common element of such schemes is providing hand-

    holding or other support wherever necessary, an

    ability to think out of the box and a flexible approach

    to conventional recruiting procedures. A number of

    innovative schemes are making a contribution to the

    numbers in the local social care workforce.

    Pre-application training can play a major role ingetting people job-ready, particularly if they have

    been unemployed for long periods. Although people

    often remain on benefits while doing pre-application

    training, in some places they get paid to train and this

    is seen as an important element in the success of

    those schemes.

    Mentoring schemes to provide ongoing support

    once someone starts work can be very helpful in

    stemming leakage of recruits within the early weeks of

    employment.

    Overcoming the mobility problem

    One of the difficulties in placing people in home

    care positions is that they need to be able to drive.

    Although this can be a barrier for all sorts of staff,when people have been unemployed for some time

    or they are otherwise disadvantaged, they are less

    likely to be drivers or to have access to a roadworthy

    vehicle.

    Authorities recognise the difficulties posed by the

    need for care workers to be mobile, especially in

    rural areas, and some have found ways to address

    this. For instance, recruits may be placed in a

    residential home or day-care centre until they are

    able to fund driving lessons and acquire a vehicle, or

    given home care assignments which involve

    doubling-up with another worker. Barnsley MBC has

    teamed up with a scheme called Wheels to Workwhich provides mopeds so that staff are able to get

    around the more rural parts of the authority. Some

    local authorities still pay a bicycle allowance.

    CASE STUDIES

    Future carers scheme

    Barnsley MBC launched its Future Carers

    programme to tackle recruitment problems in an

    area with a 5% unemployment rate and also to

    address issues of diversity and exclusion. Many

    people not in work were regarded as unemployable.The scheme, funded by the European Social Fund,

    consists of a 16-week programme that trains up to

    Skills for Care foundation standards and also covers

    basic skills. During this period CRB checks are

    completed, there are options to look at various areas

    of social care and participation in job taster days.

    Work placements are provided by a growing number

    of independent contracted providers. Trainees

    remain on benefits until they are in a job.

    Participants are given help with job searches and

    applications. Provision on the Future Carers scheme

    is for two cohorts each year. Of the first cohort 12

    out of 16 were successful in getting through the

    course, and the majority went into social care jobs.

    Contact: Trevor Hewitt

    E-mail: [email protected]

    Phone: 01226 772378

    Open day for unemployed

    Enfield Council, in partnership with Jobcentre Plus

    and Focus Training, organised an open day forpeople who had been unemployed for six months or

    more. Those who expressed an interest in social care

    29

    We have always celebrated

    our successes. It never ceases

    to amaze me how excited

    people get theyve often had

    no success at school. Seeing

    their excitement and

    satisfaction is a greatencouragement to all the rest

    of us the wow factor!

    HR manager, about a successful scheme recruiting

    and training people from very deprived areas

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    at the event were given a basic literacy test and a

    very short interview. Successful candidates were

    then able to undertake a two or three-week full-

    time basic training course in care. Training was

    provided by a local training agency and included

    taster days arranged with the in-house service.

    This project was found to be very successful. Not

    only did candidates go into social care jobs but also

    a great deal of time was saved in vetting

    applications because those who had done the

    course were able to make a conscious decision toapply for work. Funding for the project has since

    been withdrawn due to changing priorities within

    Jobcentre Plus.

    Contact: Sue Collingridge

    E-mail: [email protected]

    Phone: 0208 379 8099

    Targeting older workers

    Warwickshire Quality Partnership Initiative (County

    Council) aims to recruit older care workers as part of

    its Careers in Care strategy to encourage moreapplications from marginalised groups. A key part of

    the campaign is a leaflet designed as a recruitment

    tool and available to the independent sector free of

    charge. Prominently asking Am I too old to care?

    and showing older care workers on the inside

    pages.

    Contact: Elaine Ives

    E-mail: [email protected]

    Phone: 01926 731034

    Service users join ambassadors

    Staffordshire County Council has worked in

    collaboration with the Staffordshire and Stoke Social

    Care Workforce Partnership to develop a rapidly

    growing care ambassador scheme, funded jointly by

    the county councils social care and health

    directorate and supported by Stoke-on-Trent City

    Council. Several ambassadors come from

    independent employers and some service users. The

    intention is to extend this scheme to attract older

    people into social care by using ambassadors fromrelevant age groups. The scheme is viewed as a

    longer-term recruitment strategy with some short-

    term gains. Typically one event attended by 120

    young people resulted in 62 requests for further

    information about careers in social care.

    Contact: Shirley Brennan

    E-mail: [email protected]

    Phone: 01782 599965

    Training support

    Cheshire County Councils intermediate labour

    market programme aims to provide a bridge back

    into work by improving peoples employability. Thescheme is being implemented in localities by groups

    that include independent employers. The main part

    of the six-month programme is a supported training

    contract. It also includes pre-access training,

    personal development and assistance with job

    search. The key thing about this programme is that

    it is a job with training, rather than a training

    scheme, and participants are paid the going rate for

    the job.

    Contact: Colin Ashcroft

    E-mail: [email protected]: 07957 140384

    Applicant friendly recruitment

    Conventional recruitment procedures can pose

    obstacles to applicants who lack basic literacy skills,

    or who are not confident about filling in forms.

    Cheshire County Council has piloted shorter

    application forms and introduced less formal

    interviewing procedures. Another approach is having

    lay assessors on recruitment panels.

    Contact: Colin Ashcroft

    E-mail: [email protected]

    Phone: 07957 140384

    Support for new recruits

    Staffordshire County Councils care ambassador

    scheme aims to attract older workers, especially

    people who have been carers or who have some

    form of disability themselves. The council has also

    obtained funding for a programme of mentoring to

    support new recruits. The 10 mentors will eachmentor five recently appointed care workers over a

    period of around 12 weeks, giving them up to 25

    4 | Increasing the pool

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    hours each of mentoring time. This should reduce

    the problems employers often experience of new

    care workers leaving within the first few weeks in

    the job and after money has been invested in

    recruiting, obtaining CRB clearance and providing

    induction training, so the scheme might well prove

    cost-effective.

    Contact: Penny Lawlor

    E-mail: [email protected]

    Phone: 07815 827430

    International recruitment

    Based on anecdotal evidence there appears to be a

    great deal of international recruitment going on, and

    there are some major concerns about the way this is

    being carried out and about some of the

    consequences. The Commission for Social Care

    Inspection (CSCI) has said1

    that the independent

    sector has become increasingly dependent on a

    migrant workforce, which does nothing to improve

    the stability of the sector. Recruiting internationally

    can have a positive impact on the ability oforganisations to maintain and expand their service

    capacity. It is critical, however, that this is only

    undertaken in a careful and properly organised

    manner, with clear protocols and procedures in

    place, rather than haphazardly attracting would-be

    migrant workers desperate for employment even at

    low rates of pay.

    CASE STUDY

    Independent provider Agincare

    Based in Dorset, the company recruits abroad to

    increase capacity and tackle problems of patchy

    recruitment; in some areas the company serves it

    could not recruit at all. One long-running and

    successful initiative is to recruit from Poland,

    Lithuania and the Czech Republic. Agincare has

    learned through experience that key elements of this

    approach include:

    visiting countries themselves to select staff

    obtaining police checks on candidates and

    evidence of driving tests while in the country, and

    also ascertaining that candidates can speak English

    giving candidates a two-week orientation course on

    living in England when they first arrive in the UK.

    During this first fortnight recruits also take a driving

    test and get CRB clearance.

    They are then given induction training

    incorporating all the normal requirements butdeveloped especially for international recruits.

    Agincare has bought properties and converted them

    into bedsits to offer their overseas workers

    accommodation at a subsidised rate. The company

    also provides vehicles.

    Agincare says overseas recruitment has increased

    the workforce by 17%. This represents not only an

    increase in numbers but also a supply of care

    workers who are able to work full-time and can be

    extremely flexible.

    Contact: Derek Luckhurst, Managing Director, AgincareE-mail: [email protected]

    Phone: 01305 769418

    31

    1 The state of social care in England 200405 Commission

    for Social Care Inspection 2005

    Notes

    New providers come into

    an area and take staff by

    offering higher rates, and,

    because they are not a

    block provider, they can

    charge more

    Independent employer

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    Chap

    ter5

    Training

    Career pathways

    Increasing job satisfaction Financial incentives

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    Recent figures suggest turnover rates in home carein particular are very high, around 26% compared

    to a national labour turnover rate in the UK

    generally of 15.7%.16

    That means that on average

    social care employers in all sectors are losing and

    replacing a quarter of their workforce each year. In

    areas of very low unemployment where there is

    competition from less stressful but comparably paid

    work, turnover can be as high as 75%. High

    turnover is problematic for various reasons, not least

    that repeated recruitment, induction and clearance

    checks represent a very significant cost.

    Continued turnover of staff makes it more difficultfor providers to ensure the necessary 50% of their

    workforce have NVQ level 2, and, perhaps most

    importantly, quality of care is compromised by lackof continuity. Failure to retain staff also means that

    building up the workforce to respond to the

    demands for increased capacity becomes

    increasingly difficult.

    Once people have obtained NVQ level 2 they are

    more likely to stay in the industry, although the

    qualification may put some in a better position to

    switch employers for better terms and more

    opportunities elsewhere. Nevertheless, providing

    support to assist employers in achieving the NVQ

    targets is likely to be extremely welcome.

    Whilst seeming self-evident, its worth pointing

    out that if staff find their work satisfying they are

    more likely to stay in the social care workforce.

    Some organisations have made specific efforts to

    improve job satisfaction among their employees.

    Training

    Being offered good training is generally appreciated

    by staff and makes them feel valued. Independent

    employers who invest heavily in training or have

    access to adequate training resources tend to report

    fewer retention problems. Training can also be

    instrumental in creating a shared culture and

    ensuring that staff are confident in their work which

    then leads to better retention.

    Induction training is critical. There tends to be a

    leakage of new recruits within the first three months

    of their employment. There could be many reasons

    for this but a key one is apparently a lack ofconfidence among new care workers in dealing with

    complex needs in a situation where they are

    33

    5Promoting retention

    'Our turnover used to bealmost 100% but since there

    has been a more structured

    approach, much better

    induction and an opportunity

    to obtain qualifications,

    retention has improved. This

    year we have taken on 54

    people and only lost 13 in the

    last nine months. We have

    already got half our care

    workers with NVQ2.'

    Manager of independent organisation

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    probably working on their own. Good and adequate

    induction could counter this problem. The

    introduction of Skills for Cares common induction

    standards which must be implemented from

    September 2006 will undoubtedly help but will

    also present employers with some challenges.

    Training is one of the key areas where

    collaboration and partnership can be very effective.

    There is actually a great deal of funding available for

    training but it is not always easy for independent

    employers to access and they usually have to maketheir own contribution. Most funding goes to local

    authorities in the form of training support grants,

    both to train their own workforce and to transfer to

    organisations with which they contract. Employers

    may be helped with the cost of training to some

    extent, and this is generally resourced through

    funding such as the European Social Fund (ESF),

    from the Learning and Skills Council (LSC) or via

    industry or regional consortia. Small organisations

    largely lack either the skills or the resources to

    undertake the complex application processes toobtain this funding on their own, so this support is

    extremely valuable.

    Unfortunately, even where training is provided by

    councils, employers are not always able to take

    advantage of it. This is generally because:

    training takes a whole day and it is not possible to

    release staff from work for that long, especially

    where this might mean releasing several people

    from the same area at one time

    training is delivered in a central location that is

    difficult for staff to get to, particularly in rural

    areas

    training is in theory open to all sectors, but in

    practice booking forms go to in-house teams first

    and independent providers are only offered the

    remaining places.

    Experience also shows that where training is held

    jointly with the in-house service, independent staff

    are likely to become dissatisfied comparing their

    terms and conditions with those of the in-housecare workers.

    CASE STUDIES

    Induction workbook

    Staffordshire Social Care Workforce Partnership has

    developed an induction workbook, funded through

    the enabling fund that is part of the training strategy

    implementation grant available via Skills for Care. All

    local employers get a free copy of the workbook,

    which is being updated to conform to the Skills for

    Care common induction standards. This approach is

    more workable than delivering the in-house

    induction programme to independent employers.Contact: Penny Lawler

    E-mail: [email protected]

    Phone: 07815 827430

    Training networks

    The Tyne and Wear Care Alliance was set up in

    response to concerns about the ability of the

    independent sector to train adequately. It is a

    collaborative of workforce development

    professionals and employers, who are encouraged

    to participate in the development and managementof individual networks and also provide training

    placements. The alliance acts as a broker

    commissioning training that is then supplied at no

    cost other than the cost of releasing staff while

    they undertake training to employers. One of the

    main aims is to ensure that training is equitable

    across in-house and independent sectors, particularly

    with regard to NVQs. There have been some

    problems getting candidates through to completion,

    partly due to training organisations having too high

    a ratio of candidates to assessors and partly due to

    care workers moving from one organisation to

    another. The Tyne and Wear Care Alliance is also

    working on Route into Care with Jobcentre Plus and

    has funding to get 60 people through induction

    training, Protection of Vulnerable Adults (POVA),

    CRB checks and into care posts. Within the initiative

    there is also a drive to ensure that employment

    organisations such as Jobcentre Plus have a better

    understanding of care training.

    Contact: Pauline WiperE-mail: [email protected]

    Phone: 07915 656052

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    Commissioning training

    Warwickshire Quality Partnership aims to raise

    standards and enhance quality of care via training.

    The hope is that this will also improve staff

    retention, and already turnover has reduced for

    some providers. The partnership is run by a board

    consisting of representatives from both independent

    and statutory sectors who determine the

    programme, so it is entirely in line with the needs of

    service providers. There is a project manager who is

    employed by the local authority but works to theboard and takes responsibility for commissioning

    training. The project manager may also help

    independent organisations with training needs

    analysis and other things such as problems with

    inspections. Providers get funding to pay for training

    plus advice on how to choose training organisations.

    Contact: Elaine Ives

    E-mail: [email protected]

    Phone: 01926 731034

    Opportunities for independent providersAll training offered by Thurrock Council is open to

    independent sector staff, including core skills

    training carried out jointly with the health sector,

    which is also available to care workers from

    independent agencies. Thurrock uses a number of

    consultants to deliver its NVQ programme, who

    have additionally supported several managers in the

    independent sector in achieving their NVQ level 4,

    paid for by the council. Independent employers can

    nominate a certain number of care staff to do their

    NVQ2 through Thurrock.

    Contact: Jan Hurn

    E-mail: [email protected]

    Phone: 01375 652856

    Joint training

    A joint induction programme, set in an extra care

    housing complex run by Pennine Housing in

    partnership with Calderdale Council adult services,

    initially aimed to clear up confusion about the roles

    and responsibilities of the two sets of staff and givea broad understanding of the interface areas. This

    has now developed into a joint training programme

    covering general training in both areas of

    responsibility, such as the aims and values of the

    extra care scheme, safety and security. Further joint

    training is planned to cover abuse and some

    specialist skills.

    The training initiative has seemingly empowered

    staff and fostered a better understanding of what the

    scheme aims to achieve. The staff work more as one

    team and retention is reported to have improved.

    Contact: Sue Lewis

    E-mail: [email protected]: 01422 284547

    NVQ workpacks

    The Cheshire Consortium for Health and Social

    Care, which has 50 partners, mainly from the

    independent sector, aims to speed up NVQ

    attainment. A team analysed all the options for NVQ

    levels 2 and 3 and has come up with a selection

    that between them encompasses the whole range

    of care types. A workpack has been developed for

    each of the options and f