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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Struggling with a client

12 replies

Piranha88 · 16/08/2021 15:42

It’s a home care role and I attend to an elderly lady for a morning call. She’s scheduled to have 45 minutes to get out of bed, showered, changed, change the bed, breakfast, medication, pots away and quickly mop the bathroom.

She has a psychotic disorder which can affect her moods apparently and it can make her very up and down, according to her son and colleagues I’ve met.
Apparently she will also try it on with new carers, which she may be doing.

My calls with her often end up running way over, because it can take her up to an hour to get out of the bed. She’s also very overweight and I really struggle on my own.

I’ve been told to be firm with her verbally, which I try to do and I do tell her I have other calls to attend to, but I’m not going to shout at her or verbally abuse her.
We aren’t allowed to lift clients either but given her size I would not be able to anyway.
Yesterday it took over an hour to get her up from the bed and I had to call for another carer to come and help me in the end. The carer and a visiting nurse said that this lady really should be a double call and hoisted, that it’s far too much for one person to do. As a result I was late for all my other clients and it’s not the first time that’s happened, it isn’t fair even though I’m not blaming the lady.

However other carers claim they manage to do it and say that I just need to ‘be firm’.
The office themselves know she ‘plays up’ yet say I just need to shadow another carer getting her up. Also it’s hard for me to tell if she’s genuinely struggling to stand or just having me on and trying it on.
It’s making me dread going to her calls and I feel like I’m not doing very well at the job if the other carers can get her up, but the office won’t put her as a double call. What else could I do?

OP posts:
Blankspace4 · 16/08/2021 15:44

Raise your concerns with the care agency, in writing. Keep your concerns factual.

Piranha88 · 16/08/2021 15:46

I will ask them again if I can have more support, but twice in 2 weeks I’ve rang them saying I have been trying for an hour to get the lady up and asking for someone to come and support, so they’re aware of it!

OP posts:
Blankspace4 · 16/08/2021 15:46

Also state the recommendation of the qualified nurse and the negative impact this is having on the other people you are due to care for.

Do you know how she is funded - privately by family or local authority? As there will no doubt be a cost implication if it’s a double staffer / longer appt.

Blankspace4 · 16/08/2021 15:47

@Piranha88 that’s a good point of reference, but make sure your next approach is in writing / email.

Piranha88 · 16/08/2021 15:47

Her son had to come one day as even with 2 carers she wouldn’t stand up. He basically shouted at her and was quite tough but I don’t think that is professional for a carer to do plus it’s not in my nature.

OP posts:
Piranha88 · 16/08/2021 15:48

I’m not sure if she’s funded or not, but I will state what the nurses recommended in an email and hopefully that may help.

OP posts:
Piranha88 · 16/08/2021 15:49

I don’t think I’m struggling at the role generally as none of my other calls go over, or if they do it’s only by 2/3 minutes.

OP posts:
Blankspace4 · 16/08/2021 15:51

Good luck. If you put your concerns in writing and no action is taken you can whistleblow to the CQC but that’s quite drastic action

MilduraS · 16/08/2021 15:51

Have you taken them up on their suggestion to shadow another carer? Sod's law says it will be the one day she's willing to play ball but it's worth trying.

Piranha88 · 16/08/2021 15:54

My first day of work was shadowing and then I started alone the next day. She got up with that other carer and she has got up for me before but it usually takes so long. Even had to cancel a family dinner last week as she couldn’t/wouldn’t stand up and I had to wait over an hour for help.

OP posts:
daisycottage · 16/08/2021 15:55

The others are managing to get her up by shouting at her. I recognise the type of client and scenario from working in care homes.

What I would do is ask for a demonstration of how they usually help her up. Just stand back and allow the other carer to get on with it. They'll either resort to shouting or be too embarrassed to use their usual method and fail to get her up, thus proving that it will take two and a hoist going forward.

Looubylou · 16/08/2021 16:10

Sounds like you should have 2 people to achieve all that in 45 minutes. No the wonder corners get cut. The lack of respect and empathy for the elderly is shocking. Keep highlighting the problem, until the lady is allocated either the right number of carers or the right amount of time - whichever works best.

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