2007 DoH Collaborative Recruitment Solutions in Social Care - Getting and Keeping Your Workforce
Transcript of 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
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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.
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* 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.
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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
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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
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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
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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
5 | Promoting retention
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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