• Residences. From the drama of the first wave of Covid-19 to the "relatively controlled" situation of the third

In the nursing homes of the Community of Madrid there must be a tray with samples of all the dishes that have been prepared that day so that family members who want to can try them.

In addition,

a "menu commission" will be created

made up of cooks, nutritionists and three users from each center that will meet at least once a month to evaluate possible complaints and proposals for improvement. This is just a graphic example of the shift that is going to be give the management of geriatrics f

totally or partially financed by the regional government.

The changes have been reflected in a framework agreement that the Ministry of Social Policies has just closed with the unions and the employers of the sector and that includes among its novelties an increase in the budget per person

from 54.5 to 74.8 euros per day, 37.4% more

. "The immediate consequence of those almost 20 euros a day more per square will be a

five point increase in staff ratio

direct care, which includes doctors, nurses, physiotherapists, occupational therapists, social workers and psychologists, which goes from 0.42 to 0.47 per resident ", says a spokeswoman for the area. In addition, minimum hiring of geroculturists (0.33) and for the sum of all professionals in charge of cleaning, maintenance and maintenance (0.15), which up to now were not determined. Another novelty is that

the quality of care will be decisive

for the award of contracts to replace the economic offer.

Thus, issues such as the organization of recreational therapy workshops, the availability of sociocultural animators, the installation of motion sensors in the beds and the increase in the budget of the menus will have a weight in the final grade of up to 51 points, so that only will use the criterion of the lowest price in the event of a tie in qualitative aspects. It is also explicitly regulated for the first time that the

use of both physical and pharmacological restraints

It will be prescribed by an interdisciplinary team, with the informed consent of the reference family member, except in critical situations, in which it will be collected as soon as possible.

The documentation must state the reason, the duration and the periodicity together with the reasons why other types of measures have not worked, although the objective is to eliminate them whenever possible.

the sanctioning regime is hardened

in the event of possible breaches, such as the cleaning of clothes, rooms and other spaces, which is now considered a serious fault instead of a minor one, and the assumptions that will allow the regional Executive to rescind the contracts are expanded.

Among these causes will be the commission of three serious or very serious penalties in a year or five while the award lasts, as well as failure to carry out the commitments acquired in the tender.

"True homes"

"We want the residences to be

true homes for the elderly

and this framework agreement is the first step towards this new model of care and social services focused on the person that we want to promote in the Community of Madrid ", explains the Minister of Social Policies, Javier Luengo. In total, his department will allocate

58 million euros per year

extra to this item. "With this investment we are initiating a revolution in the treatment of the elderly that advances towards excellence in care. The elderly are an example of life for all and now it is our turn to take care of them and facilitate their best possible quality of life, "he adds. At the request of the unions to" improve job stability ", a clause is introduced that regulates that, during the term of the contract, the percentage of workers in the center with permanent contracts must be" exceeded. full time established in the applicable collective agreement or, failing that, that this percentage is greater than 85% of the workforce ".

Likewise,

subcontracting of nursing staff is allowed

, until now not authorized. Finally, the obligation is established to prepare, implement and update during the entire duration of the awarding an Emergency Contingency Plan that, among other things, regulates the creation of isolation areas for people with a contagious disease .

This measure is adopted after only in the first wave of the pandemic

4,800 inmates with coronavirus or symptoms will die

compatible.

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