By John Carvel, Social Affairs Editor LONDON, England (The Guardian), December 18, 2007:
Older people are being tied to their beds and drugged with unnecessary sedatives to avoid disturbance in understaffed care homes, government inspectors said yesterday.
The Commission for Social Care inspection said all care homes had to balance residents' humans rights against the occasional need to use restraints to protect individuals from harm. But inspectors found abuses where unjustifiable force was used to make life easier for an overstretched staff.
They visited homes where older people were "cocooned", a form of restraint using converted bed linen, which was passed under the mattress and zipped tightly to the covers to stop residents from getting up. Other homes used straps to tie residents in wheelchairs where they might sit for hours in soiled incontinence pads.
Complaints received by the commission included the case of an older woman who was dragged by the hair and tied to a chair. Another was dumped on a beanbag from which she could not rise.
One care home manager sedated residents at tea time so they could be put to bed at 6.30pm. Another installed an elaborate system of locks and stair gates to keep people in communal areas or imprisoned in bedrooms.
Denise Platt, the commission's chairwoman, said these "gross indignities" were unacceptable. "Wherever we find examples of poor practice we will not hesitate to deal with them," she said.
But older people told inspectors they found some types of restraint increased their sense of security. For example, some preferred the front door of the home to be locked to keep out prowlers and keep in people with dementia, who might otherwise walk away and get lost.
Some thought electronic tagging could be used to keep track of residents, while others thought the use of a technology designed for criminals would infringe personal liberty.
The commission said care workers and families caring for relatives needed clearer guidelines to resolve ethical dilemmas over when it could be acceptable to restrict an older person's freedom of choice. Restraint could never be justified as a substitute for adequate staffing, it added. The commission said it could not estimate how many homes infringed people's human rights by using unjustifiable restraint. But a survey of more than 250 older people and carers found 74% knew someone who had been restrained.
Gary FitzGerald, chief executive of Action on Elder Abuse, called for action by regulators and care providers to stamp out intolerable treatment of older people. He said: "Restraint turns care into imprisonment and we should not accept it. If we were talking about the doping of children, we would demand immediate action ... so why is it unacceptable for a seven-year-old, but acceptable for a 70-year-old?"
Paul Cann, policy director of Help the Aged, said although care homes might use restraint it was imperative that the dignity of older people was maintained at all times
© Guardian News and Media Limited 2007
