7. Debate on the Health, Social Care and Sport Committee report: Use of antipsychotic medication in care homes

Part of the debate – in the Senedd at 4:31 pm on 11 July 2018.

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Photo of Angela Burns Angela Burns Conservative 4:31, 11 July 2018

I'm grateful to all the witnesses who came to give evidence to the committee. Some of the personal stories that we heard were absolutely harrowing and have been an eye-opener for a great many of us. 

Cabinet Secretary, I'm sure that you will agree with me that it's completely unacceptable that powerful medication is being used inappropriately or not being routinely reviewed—medications that subdue mind, body and spirit. Yet, on the other hand, we all say that we want to cleave to the principles of dignity and respect, which is why I found the Welsh Government's response to the committee's report utterly disheartening, because I think that our committee report really identified the fact that there is a vulnerable group of people who are not being treated with dignity and respect. People matter, all people matter, and the most vulnerable and the most defenceless in our society matter the most, as their voices are often the most marginalised and least heard, and some of the quietest voices are in residential care homes.

I found the rejection of recommendation 9 simply dismissive of a vulnerable group of people. Here we're asking for a method of assessing the appropriate skills mix required for care home staff and asking for you, Welsh Government, to produce guidance on this to ensure that there are safe and appropriate staffing levels in every care home. This morning, in our health and social care committee, you and your colleague the Minister for social care were there talking to us about how every person deserves a holistic treatment around them, that we want to look at the person in the entire narrative of their life, that we want to ensure that they're in the right place, having the right treatment, at the right time. Yet, dismissing this recommendation that people in care homes also have that right I find deeply concerning.

I find it deeply concerning because one of the reasons that you put forward is that there's already a gazillion regulations in place, talking about the types of staff deployed and the numbers of staff deployed, therefore you don't consider that an additional mechanism is required. Yet, we have Care Inspectorate Wales themselves saying that they are worried about care homes that carry the historical elderly mentally infirm, or dementia registration classification without actually having staff who have specialist training. Suzy.