Could one word change an entire industry?
If you have a moment, think about an older person you love, it might be a parent, grandparent, great grandparent, or any other older person you love.?
Now think about that person in the last stage of their life in an aged care home because they need love, care, and support.
Now think about the aged care home owner referring to them as a 'bed'.
It doesn't feel right, does it? That a vulnerable older person you love is being referred to in such a dehumanising way as if they're just an object in a system.
For those of you who may not be aware, that's how Australia's residential aged care sector refers to the older people we're entrusted to care for.?
That's right - older people are referred to as beds.
I've been thinking about this lately. I’ve been thinking about myself as the leader of a growing aged care provider, I’ve been thinking about other providers and their growth and operating strategies, and I’ve been thinking about how we ended up with a Royal Commission into Aged Care. The industry still doesn’t seem 100% right to me.
Don't get me wrong. Most aged care providers provide excellent care, and you can go to any of Respect's homes and randomly ask a resident how they like it there, and they'll tell you it's great. But the sector is still talking the same as before the Royal Commission; and if it’s still talking the same, it’s still thinking the same, and if it’s still thinking the same, it’s still doing the same.
One of the most obvious things to me is that many providers still have the same mentality around bed numbers. It hasn't changed. In board rooms around the country, growth targets and operational strategies are set around bed numbers. What is our development pipeline with how many beds? How many beds is viable? What's the perfect size of a home in terms of beds? What providers have what bed numbers?
Following the rapid growth of Respect, I get asked a lot now, things like; how many beds do you want? How many beds do you have now? What is your bed numbers strategy? What is your target number of beds?
It would be easy for me to get swept up in this "growing provider", "big provider" club and all the bed talk, but there's a very severe problem with this thinking - we’re not looking after beds! We’re looking after highly vulnerable older people, people’s older loved ones and the people who built and created the society we now have the privilege to live in.
So if I replace the word 'beds' with the word grandparents, how does it feel to you?
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How many grandparents do you want? How many grandparents do you have now? What is your grandparent numbers strategy? What is your target number of grandparents?
It sounds wrong, doesn't it?
Can you see how this one simple word could contribute to a problem so big it needed a Royal Commission?
I don’t think it’s hard to see that if you’re using arms-length and dehumanising language to refer to the people you’re caring for as if they’re a pawn in a board-room game of chess, how this might end up with actions that lead to the wheels falling off.?
I believe this thinking is a big problem in the sector, and it's a problem I've resolved myself by replacing the word bed with the word grandparent in my thoughts and heart when I need to make strategic decisions.?
If I have to think about growth, I don't think about how many beds should be the goal. I think about how many grandparents should be the goal - and if that is the goal, then I'd unquestionably need to have more grandparents because more grandparents deserve better care, not because Respect needs more 'beds'!
If I think about grandparents and not beds, we grow with the real mission baked into that growth - that we must care for more older people because they deserve better care. If Respect comes to your community, the care must be better than before we arrived, otherwise we've failed.?
If you're an aged care provider, and you can't say you’re doing that, then pack it in because older people don't need you, that community doesn't need you, and the sector doesn't need you. No one needs your beds - they need your care.
I know people aren't using the word beds with bad intentions, and I still use it if I'm factually talking about things (so I'm not being silly about it all). But I'd challenge all leaders in our industry; when you're thinking about growth, plans, and strategy, ditch the word beds in your hearts and minds, and embrace a word that reflects what we're all trying to do -? provide better care for older loved ones who deserve that care.
Could one word change an entire industry? Is language that powerful?
I believe it is.
Quality and Clinical Governance Manager
2 年Thankyou for your article, beds is not a reasonable term. But though it serves your example neither is grandparent. I am hopeful you will be able to find another word. Thanks again.
Founder at Getting There IE
2 年Absolutely, not only are they referred to as ‘bed blockers’ but they are also considered an inconvenience. The overall care of the aged is mediocre. We learn to keep Quiet and say nothing. Mary . www.gettingthere.ie
Leadership in commercial furniture construction & design for the Tasmanian market; Managing Director UCI, De Jong & Sons
2 年Thanks for the positivity in your commentary Jason. For too long all the talk in aged care has been negative and this negativity has made the language even more impersonal. A positive community attitude can lead to positive results and the elderly in our community deserve the best we can offer them as beneficiaries of their lifelong efforts. Let’s keep up the good work.