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culture
tvandradio
6763193
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# Can Gerry Robinson Fix Dementia Care Homes? BBC One, Review
## Damian Thompson reviews last night's television
![Can Gerry Robinson Fix Dementia Care Homes?][1]
Can Gerry Robinson Fix Dementia Care Homes? Photo: BBC
By Damian Thompson 12:03AM GMT 09 Dec 2009
[Comments][2]
Until I watched **Can Gerry Robinson Fix Dementia Care Homes?** (BBC Two), I
didn't know that old people's homes are sometimes called "granny farms". Not a
nice expression - but not that wide of the mark, either, because even battery
chickens have more fun than residents trapped in the worst of them.
Most of us find the subject of these homes intimidating, something to be
postponed until it can't be avoided. I once wrote a long feature about a local
authority home in Hampshire. Being surrounded by so much frailty, love and
fear was overwhelming, and I remember a nurse gently cutting an interview
short because "the man from the Telegraph is a bit upset". And that was a
superbly run establishment in which most residents, though their powers were
failing, were not suffering from full-blown dementia.
What a terrible thing dementia is, and no wonder it requires specialist care.
Alzheimer's is the nastiest variety, but there are many forms that can turn
once benign old people into rather frightening figures, because their
irrational terror is infectious. You straighten Elsie's cardigan, and she
shrieks: "You're trying to kill me!" Her cries penetrate the mental fog of the
other residents in the room and soon they are all agitated.
How can even the capable Sir Gerry Robinson, former chief executive of
Granada, hope to "fix" these homes when dementia itself is unfixable? We shall
have to wait for the second programme to hear his full proposals, but it
didn't take more than a few minutes to identify one scandal. The first home he
visited was Woodland House in Torquay, a privately owned dementia home funded
by the local authority. It was managed by Jane, a tubby nurse who said
cheerfully, "These are our little residents," indicating a circle of mournful
- and not noticeably little - old people left to stagnate in a dingy lounge.
Questioned more closely, Jane wasn't so cheerful. She had recently moved to
Woodland without receiving specialist training in dementia. As Gerry put it:
"At best, she was hazy about what the job involves." Jane confessed that
inspectors had graded Woodland "poor", or perhaps "inadequate" - she couldn't
remember. But when Gerry checked, he found that Woodland was officially
"adequate", which makes you wonder what a "poor" home looks like.
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Anyone can buy a property and run a granny farm, so long as they have the cash
and no criminal record. During the boom, those "little residents" left
mumbling in front of the telly were a good investment. Now, not so much. Later
in the programme, Gerry met a care home entrepreneur who was selling his
enormous country house because business was drying up. This man was not a
shyster; his best homes were excellent and he was genuinely shocked that, as
the programme discovered, a lady in one of his establishments was left calling
out "Where am I? Help me!" for half an hour before staff noticed.
Gerry's message was sensible: find small ways of improving the lives of your
residents, based on specialist advice, and that will help you return to
economic viability. We must hope he's right, because 250,000 Britons are going
to end up with dementia, and we're in serious trouble if this industry fails
to develop the right mixture of profitability, professionalism and compassion.
One day, it could be you or me screaming blue murder when a nurse tries to
straighten our cardigan.
Gerry Robinson was the ideal choice for this programme: despite his anger at
the scandal, he showed touching kindness to confused patients, overworked
staff and even proprietors. His own father had been struck suddenly by
dementia, and one reason for taking on the assignment was to achieve "closure"
after the old man's death. Coincidentally, a similar motive lay behind
**Robson Green's Wild Swimming Adventure** (ITV1). The actor's father, a mad
keen swimmer in coastal waters, recently died; Robson wanted to pay tribute to
him by mastering the art of "wild swimming" himself.
It was a nice idea, engaging enough for the first few minutes, but there's a
limit to the number of times you want to hear a cheerful Geordie tell you
that, although the scenery's lovely, the water's freezing. He reminded me of
John Noakes, whose gruelling outdoor challenges for Blue Peter in the late
Sixties and early Seventies fitted neatly into 10-minute films. Which was long
enough, frankly. Robson Green's "adventure" took him to a whirlpool in
Scotland, a lake in Snowdonia, and the North Sea around Holy Island. I'm sure
these locations were all very carefully chosen, and the production values were
high, but in the end what we had was a two-part, two-hour documentary about a
middle-aged man swimming in jolly cold water.
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