• 75% of residents profoundly unhappy
• 80% feel communal morale is diminished
• 80% feel security is seriously compromised
• 90% want Wardens back
• Almost impossible to build personal trust
• Tick-the-box service
• Well-being of tenants is now second to quality of service targets

Physical Ramifications

• Places vulnerable people at risk
• If a resident falls and does not have pendant round their neck they are expected to call a number – how?
• People with serious medical conditions can lie unattended for days
• People can lie dead, or dying for days
• Derby: A resident fell and died after her daily support visits were reduced to once a month.
• Bristol: Man laid dead for weeks until neighbours complained about the smell coming from his flat
• Avoidable deaths have increased

Palliative Care Shortfalls

• Residents are assessed for needs
• No proper medical testing
• No social needs investigation
• External support is non-existent
• Social Services
• District Nurses
• Family Support
• Statutory Agencies
• Needs of tenants, not statistics, should be priority

The Subsequent Social Issues

• Increased social isolation
• Isolation increases stress levels
• Sustained high stress levels leads to
• Reduced Mobility
• Declining Health
• No organised activities or caring support
• Many residents live away from family
• Communication with family and the outside world is very difficult