:00:05. > :00:11.Hello from Bournemouth and welcome to Inside Out. Your stories from
:00:11. > :00:24.where we live. He was what is coming up tonight. Who am I? Isabel. Well
:00:24. > :00:28.done! Poor food and not enough of it, we investigate how residents in
:00:28. > :00:33.care homes are suffering from malnutrition. We were shocked to
:00:33. > :00:40.discover from a chef in a care home that his budget has been reduced to
:00:40. > :00:44.£8 per week per resident. And the future of green energy or a
:00:44. > :00:50.blot on the landscape? We are in Dorset for the battle of Navitus
:00:51. > :00:56.Bay. We are providing power, the equivalent of 790,000 homes,
:00:56. > :01:00.directly into that area where you have that high demand. Offshore wind
:01:00. > :01:04.is all about money, it is about harvesting subsidies, much more than
:01:05. > :01:11.it is about Britain developing renewable energy. I am John Cuthill
:01:11. > :01:25.and this is Inside Out for the South of England.
:01:25. > :01:32.We start with that disturbing story about malnutrition in care homes.
:01:32. > :01:37.Poor food or not enough of it or even when there is, not enough staff
:01:37. > :01:41.to help you when you need it most. Tonight, we investigate how a system
:01:41. > :01:50.set up to protect some of the most honourable in society is not
:01:50. > :01:56.working. —— the most vulnerable. You may have seen them on the X
:01:56. > :02:01.factor. Many of the people here belong to the nostalgics, a surprise
:02:01. > :02:09.group of pensioners voted through on the talent show. —— the Nostalgics.
:02:09. > :02:12.Although they were thrilled, they decided to bow out of the
:02:12. > :02:16.competition and stick to singing for charity and that their weekly yet
:02:16. > :02:28.together is. But what an inspiration they are. Sadly, not all of us will
:02:28. > :02:34.stay this active. About one in six people over 85 will
:02:34. > :02:38.end up in a care or nursing home. And when we get there, we will be
:02:38. > :02:43.paying hundreds of pounds a week for the privilege. So you think the
:02:43. > :02:48.least they could do is make is a good meal. But that is not is what
:02:48. > :02:51.is happening in many home is up and down the country. It is estimated
:02:51. > :02:57.that one in three residents right now is suffering from malnutrition.
:02:57. > :03:00.For the body responsible for inspecting homes, the Care Quality
:03:00. > :03:05.Commission, that is a huge concern. Shockingly, all of the inspection
:03:05. > :03:15.reports you are a bad to hear come from homes in the South of England.
:03:16. > :03:17.—— you are about to hear. Three people told us they did not
:03:17. > :03:53.like the food. Although some of the homes featured
:03:53. > :03:58.have turned a corner, they paint a worrying picture of staff unable to
:03:58. > :04:00.help and budgets cut to the bone. We have been speaking to families
:04:00. > :04:06.across the country who were worried about relatives. Many have seen
:04:06. > :04:11.mothers or fathers dramatically lose weight after they go into a home.
:04:11. > :04:15.The first year, I think everything was OK and in the second year he
:04:15. > :04:18.began to lose weight and I noticed his clothes were loose so I
:04:18. > :04:23.mentioned it several times and people would say, " weight loss goes
:04:24. > :04:29.hand—in—hand with dementia." I am sure it does but when he was with
:04:29. > :04:33.me, she would always eat everything. He needed a lot of support when
:04:33. > :04:39.eating. If you gave him a sandwich, you would need to say, "put it in
:04:39. > :04:43.your hand, put it in your mouth." He would eat the plateful. Eventually,
:04:43. > :04:47.when his clothes fell off, I took him to the doctor, who said we
:04:47. > :04:53.should put him on supplements but that seems crazy when he had
:04:53. > :05:03.recently been to my house for Christmas dinner and eating the same
:05:03. > :05:06.amount as everyone else. Too often, people who need extra support do not
:05:06. > :05:58.get it. During lunch, we observed one person...
:05:58. > :06:05.It was is changing attitude to food that first confirmed to Sarah that
:06:05. > :06:09.her father had dementia. She very soon realised how much help he was
:06:09. > :06:14.going to need in the future. He would not recognise his favourite
:06:14. > :06:24.food, for instance he loved lasagne and I made it for lunch and he was
:06:24. > :06:31.sort of... What is this? I would say it was lasagne and he would ask...
:06:31. > :06:36.What is that? That is when I realised. He would try to fill it a
:06:36. > :06:44.parsnip like a fish and eat the lemon or the wash rabbit shores ——
:06:44. > :06:48.or the horse radish sauce. He did not have any full or empty signals.
:06:48. > :06:51.He was not able to say when he was hungry. If you offered him a choice
:06:51. > :06:59.of food, he would say the last thing you said or no thank you. If you
:06:59. > :07:02.gave him food, he would eat it all. He would tell you he didn't want
:07:02. > :07:07.anything and then eat a full meal. Bill Francis lost so much weight in
:07:07. > :07:11.his previous care home that his daughter thought the Care Quality
:07:11. > :07:17.Commission should take action. I reported things to the CQC and they
:07:17. > :07:23.did an inspection and it was then that it struck a chord with me and
:07:23. > :07:27.the penny dropped, they failed the home on three of the five main
:07:27. > :07:32.outcomes, one of them being that the nutrition and hydration was not
:07:32. > :07:35.being recorded correctly. The staff were unable to cope. Although weight
:07:36. > :07:43.loss can be linked to health, groups such as the Relatives And Residents
:07:43. > :07:48.Association say that leaving anyone malnourished is a form of abuse. The
:07:48. > :07:54.CQC study showed that one in six care homes were not helping people
:07:54. > :07:58.enough to eat and drink. That is a huge number. We're talking about
:07:58. > :08:04.something like 17% of all care homes and we don't really know what is
:08:04. > :08:08.happening to those people. We know of people who have lost huge amounts
:08:08. > :08:13.of weight in homes because their weight has not been noted, they
:08:13. > :08:19.nutrition and hydration intake has not been measured and it has been up
:08:19. > :08:27.to the relatives to point this out. We know that something like 20,000
:08:27. > :08:34.people in care homes have no relatives or visitors and who is
:08:34. > :08:44.looking after their welfare? Who am I? Isabel. Well done, yes!
:08:45. > :08:48.Some families have become so concerned that they want to start a
:08:48. > :08:52.nationwide campaign to force improvements on the whole sector.
:08:52. > :08:57.Isabel Brown moved her mother Rita three times, the latest move just
:08:57. > :09:00.the previous day to somewhere with excellent food. She did not see why
:09:00. > :09:06.the previous home should charge nearly £600 a week and serve her
:09:06. > :09:13.mother the sort of food she had never eaten a full and did not want
:09:13. > :09:16.to start eating now. This was less yesterday lunchtime, some of the
:09:16. > :09:22.food that was being served. Everything looked the same, orangey
:09:22. > :09:29.brown. It was baked beans on toast. Mum had the same everyday. What did
:09:29. > :09:37.you have for lunch? Two poached eggs is every lunchtime and you have high
:09:37. > :09:40.cholesterol, which does not help. Mum did not eat those sorts of
:09:40. > :09:47.foods, she was a brilliant cook and would sort out local produce from
:09:47. > :09:56.the market we lived. It was just old people's food, sloppy things. School
:09:56. > :10:08.dinners. You got there and! You like vegetables. Yes, vegetables. You
:10:08. > :10:13.haven't had many, have you? No. Sometimes, for financial reasons,
:10:13. > :10:18.they cut back on the amount of money they spend on food. It is supposed
:10:18. > :10:21.to be your home. It is not up to the manager or the catering manager, the
:10:21. > :10:26.government has decided in the regulations that people must have,
:10:26. > :10:34.not should or could, but must have a choice of nutritious, healthy food.
:10:34. > :10:41.They must also be able to choose when they eat and so it should not
:10:41. > :10:44.be like school dinners, that you have to eat when you're given it.
:10:44. > :10:49.And it should be something you enjoy, something sociable or not,
:10:49. > :10:53.according to your preference. But according to the staff's preference
:10:53. > :10:57.or what is easy, but what you want and, for a lot of people, they don't
:10:57. > :11:14.feel they have any choice and that is not good enough.
:11:15. > :11:27.Is what food do you like. —— what food do you like? It is all right.
:11:27. > :11:34.You like vegetables and fruit. The vitamins are good for you. There no
:11:34. > :11:37.vitamins in a tin of ravioli. We want to start a campaign that they
:11:37. > :11:43.have to provide good, nutritional food. You can go into a supermarket
:11:43. > :11:51.and buy some vegetables. You can make fresh food. Like you did and I
:11:51. > :11:56.do. We were shocked to discover from a chef in a care home that his
:11:56. > :12:03.budget had been reduced to £8 per week per resident and he left
:12:03. > :12:07.because he said he couldn't do a decent job on that kind of budget.
:12:07. > :12:12.It is excellent that the CQC have done a study showing that attrition
:12:12. > :12:15.and hydration —— nutrition and hydration needs to be parsley
:12:15. > :12:18.improved in care homes but it is not good enough to do a study in
:12:19. > :12:27.isolation, they have to go back to those homes and check that they have
:12:27. > :12:30.improved and, if not, why not. For many in care food is the highlight
:12:30. > :12:34.of the day but too often it would seem the quality and quantity leave
:12:34. > :12:38.a lot to be desired. One man we came across found things had got so bad
:12:38. > :12:45.he actually checked himself out of his residential home and is now
:12:45. > :12:50.catering for himself. The food wasn't brilliant. Some of the meals
:12:50. > :13:00.were very disappointing. Some were all right, but many were served with
:13:00. > :13:07.tough meat, tough pastry and I don't know how people managed to eat them,
:13:07. > :13:13.especially with the older people with false teeth. I had to have some
:13:13. > :13:17.food brought in. One of the things I used to do is have fish and chips
:13:17. > :13:26.brought in at night and so did one or two of the other residents. Some
:13:26. > :13:31.of the food we had was perhaps a fish finger at tea, with two or
:13:32. > :13:38.three waffles and a spoonful of baked beans and perhaps Ely and some
:13:38. > :13:43.—— Ely and some cream —— jelly and cream, not nutritious for people.
:13:43. > :13:48.Have a piece of cheese on toet. The —— on toast. The toast was probably
:13:48. > :13:55.burned and not very nice. It wasn't very filling. He was very unhappy in
:13:55. > :14:05.the home. He was short of food and what he was given was not very
:14:05. > :14:09.appetising. Obviously cheap food, and it became —— and he became very
:14:09. > :14:13.unhappy and I used to take food in virtually every day. Colin is now
:14:13. > :14:18.managing well at home with the support of visits three times a day
:14:18. > :14:22.to help him get up and go to bed. I am pleased to be able to look after
:14:22. > :14:30.myself and cook my meals as I wish and how I want them. It's quite an
:14:30. > :14:38.interesting thing. I was a little bit of a misfit in the home due to
:14:38. > :14:41.the fact that I got my faculties and could see what was going on. A
:14:41. > :14:47.number of other people couldn't, they didn't know. I feel sorry for
:14:47. > :14:51.them. With 151 homes currently recorded as failing on nutrition by
:14:51. > :14:55.the Care Quality Commission the regulator told us they would like
:14:55. > :14:59.people to contact them if they have concerns. What we would hope is
:14:59. > :15:02.people would be able to talk to the provider and say this isn't good
:15:02. > :15:06.enough. We know sometimes that's not easy for people and we would invite
:15:06. > :15:09.people to tell us about their experiences. They can do that
:15:09. > :15:12.directly with an inspector when they're on site obviously, but all
:15:12. > :15:17.the time they can contact us through our website where people can leave
:15:17. > :15:22.comments about the services they're actually using. We really do want to
:15:22. > :15:25.hear from people. That's how we decide — that's how we know where we
:15:25. > :15:29.need to focus our attention and go from the comments we receive, and
:15:29. > :15:34.it's obviously key. We know that many homes do offer
:15:34. > :15:38.excellent food to their residents. But it doesn't take long to find
:15:38. > :15:44.reports that show that when it does go wrong or corners are cut it can
:15:44. > :15:48.have disastrous consequences. During one inspection officials saw a care
:15:48. > :15:52.homeworker pick up porridge from down the side of a chair, scrape it
:15:52. > :15:57.back into the bowl from which a resident was eating, and wipe their
:15:57. > :16:01.fingers on it. Pies were served covered in mould to other residents
:16:01. > :16:04.suffering with dementia. A pensioner looked like a skeleton after she
:16:04. > :16:10.starved to death at a nursing home where she was a high—risk patient an
:16:10. > :16:16.inquest heard. As you get older, it's very
:16:16. > :16:22.important to enjoy food, very important.
:16:22. > :16:39.# Sing, sing a song... Let us know your stories, good and
:16:39. > :16:42.bad. You can e—mail me. Or even better send me a photo of the food
:16:42. > :16:47.and we promise to try and help sort out some of the worse ones
:16:47. > :16:52.Now the argument over our green energy sources continues as Britain
:16:52. > :16:56.tries to up its renewable energy sources. Here off the Dorset coast
:16:56. > :17:00.there are plans to build 200 wind turbines out there, great for the
:17:00. > :17:08.green energy lobby, but not so good if you want to enjoy the view. The
:17:08. > :17:16.coast in Dorset, deemed so special that like the Great Barrier Reef
:17:16. > :17:19.it's a world heritage site. The view from this cliff remain —— from this
:17:20. > :17:30.cliff's remained the same. But that could change if a wind farm — let's
:17:30. > :17:35.get our bearings. There is Bournemouth. The Isle of
:17:35. > :17:42.Wight, the Needles over there. This is where the wind farm is planned
:17:42. > :17:43.for. Over nine miles away from the second closest spot to the wind
:17:43. > :18:03.farm. They will be highly advice fribl
:18:03. > :18:08.from the coast —— highly visible from the coast. It spans about 60
:18:08. > :18:12.degrees of the horizon which is roughly that. When you are looking
:18:12. > :18:17.out to sea you see this wall of turbines before you. The
:18:17. > :18:21.Government's keen to build offshore wind farms in order to meet its
:18:21. > :18:26.target of producing 15% of our energy needs with renewables by
:18:26. > :18:34.2020. Thanet off the Kent coast is designed to pump a maximum of 300
:18:34. > :18:40.megawatts into the National Grid. Developers claim Navitus Bay could
:18:40. > :18:44.provide almost four times that, 1100 megawatts, equivalent to almost 2%
:18:44. > :18:48.of the UK's electricity needs. It's easy to say it's 2%, therefore we
:18:48. > :18:54.must have this 2%. My argument would be, well, before you start
:18:55. > :18:59.detracting from areas like this, the nation's jewels really, why don't
:19:00. > :19:04.you try harder to exploit other areas which have fewer and negative
:19:04. > :19:08.impacts? Why is there a plan to build a wind farm which at its
:19:08. > :19:12.nearest point would be 8.6 miles off the Needles? The area was chosen by
:19:12. > :19:19.the Crown estate, they're the landlord of the seabed. They
:19:19. > :19:24.identified nine zones around the UK coastline, it's got good wind
:19:24. > :19:28.speeds, wind off the Atlantic. Relatively shallow water. Really
:19:28. > :19:35.importantly, it's very close to a high area of energy demand. We are
:19:35. > :19:39.providing power, the equivalent of 790,000 homes, to about nine times
:19:39. > :19:43.the number of homes in Bournemouth, directly into the area where you
:19:43. > :19:48.have that high demand. Latest Government figures show 3% of the
:19:48. > :19:52.UK's electricity is now produced by offshore wind.
:19:52. > :19:56.Tea, please. The thing is we don't just need more energy, we need to
:19:56. > :20:00.find new ways of producing it. Right. No biscuits, we will crunch
:20:00. > :20:07.numbers instead. Boiling your average kettle will turn up 2.2
:20:07. > :20:12.kilowatts. Navitus Bay claims its turbines could provide one gigawatt
:20:12. > :20:17.of electricity, that's the same as 454,000 kettles. A lot of tea.
:20:18. > :20:21.But some say we should question these estimates as some existing
:20:21. > :20:26.wind farms haven't lived up to the claims they first made. Wind is
:20:26. > :20:31.intermittent. When there is no wind, which is frequently, particularly in
:20:31. > :20:36.hot or very cold weather, then no energy is generated by wind
:20:36. > :20:40.turbines. We have to be very careful about the claims made by companies
:20:40. > :20:45.for the capacity of their wind farms. They tend to either quote
:20:45. > :20:50.100% capacity, when we know that is not the case. Or they use the
:20:50. > :20:53.industry standard which is 30% efficiency. In fact, the actual
:20:53. > :21:00.capacity, the production from these wind farms is sometimes in the order
:21:00. > :21:05.of 22%. So significant project, delivering 790,000 homes worth of
:21:05. > :21:10.energy and it would contribute to the national targets, not just for
:21:10. > :21:15.renewable energy, but for combatting climate change. It will reduce the
:21:15. > :21:20.amount of carbon dioxide by 1.15 million tonnes per year, so it's a
:21:20. > :21:24.significant project in a major contribution.
:21:24. > :21:27.Another controversy is over these visuals Navitus Bay has drawn up to
:21:27. > :21:33.show how the development will look. This is the view from a beach near
:21:33. > :21:37.Bournemouth. The 200 metre turbines just about visible on the hor ie
:21:37. > :21:41.zone. —— horizon. The group commissioned
:21:41. > :21:46.its own graphics which it says give a more accurate idea of the scale of
:21:46. > :21:51.the turbines. The major difference most locals will be aware of is the
:21:51. > :21:55.landscape in the developers's visualisations looks smaller than it
:21:55. > :21:59.really is. When you see our videos on a television screen I think you
:21:59. > :22:05.get a much more realistic impression of scale so the turbines look more
:22:05. > :22:08.like they will look in practice. The official guidelines for producing
:22:08. > :22:13.visuals like this were drawn up seven years ago by Scottish National
:22:13. > :22:15.Heritage. They're currently under review after complaints that
:22:16. > :22:20.turbines on some wind farms in Scotland looked much larger once
:22:20. > :22:25.built than the visuals had suggested. We are following what is
:22:25. > :22:29.deemed to be the best practise within the industry and endorsed by
:22:29. > :22:35.the landscape institute. The problem is it's seven years old. It's seven
:22:35. > :22:41.years old, but irrespective of that it's still acknowledged to be the
:22:41. > :22:45.best industry practice. If it changes, we will obviously adapt our
:22:45. > :22:49.images accordingly. Angela is a green campaigner. She
:22:49. > :22:55.lives in Bournemouth where the wind farm would be 12.2 miles out to sea.
:22:55. > :22:59.She's keen to get moving on renewable forms of energy. But she's
:22:59. > :23:06.meeting opposition from the tourist industry in the town. Councillor
:23:06. > :23:12.Mike Green is for renewables but against the wind farm. His concern
:23:12. > :23:16.is tourism, hence these sticks of rock. Brandishing their respective
:23:16. > :23:21.weapons, but promising not to use them, we have asked the two to meet
:23:21. > :23:25.and thrash things out. We all know we will need to be able to reduce
:23:25. > :23:29.our carbon emissions, we need to look at carbon saving. Let's look at
:23:29. > :23:33.an efinishent way rather than coming up with something that could be
:23:33. > :23:38.catastrophic for the local tourism economy —— efficient. I believe the
:23:38. > :23:44.evidence used is anecdotal. It hasn't been proved. In other areas
:23:44. > :23:48.where they've had concerns, one recently, it's been proved wrong.
:23:48. > :23:51.What Bournemouth should be doing is say look, come on, see this
:23:51. > :23:53.wonderful wind farm, we are committed to renewables. We are
:23:54. > :23:58.committed, we have a green agenda. Come and see what we are doing
:23:58. > :24:01.locally. All of our economy is based on tourism. We can do what we can
:24:02. > :24:05.for the green economy but this is the wrong place at the wrong price
:24:05. > :24:09.and at the wrong time. Whilst these two are sorting out their
:24:09. > :24:13.differences time for me to do a little survey.
:24:13. > :24:19.Wind farms or tourism, which is more important? I don't think the
:24:19. > :24:23.tourists will mind a wind farm. They're friendly looking things. It
:24:23. > :24:29.doesn't worry me. I am not a tourist, I live here. Doesn't worry
:24:29. > :24:33.me. No, stick them up. This town needs tourism because this town —
:24:33. > :24:36.tourism brings money to us. I wouldn't like to be able to see
:24:36. > :24:40.them. You don't want to see anything out there? Keep it natural like
:24:40. > :24:44.that. If there's wind farms nobody's going to sit and look at them.
:24:44. > :24:51.They'll still come here. You still have the beaches. Which one?
:24:51. > :24:55.Turbine. Yeah, turbines. So, that's the word on the waech. —— beach. All
:24:55. > :25:01.this new technology doesn't come cheap.
:25:01. > :25:08.The cost today is about £140 per megawatt hour which compares to...
:25:08. > :25:13.Phil from the carbon trust says companies producing offshore wind
:25:13. > :25:20.can get Government subs can Is —— subsidies. This could drive down the
:25:20. > :25:24.cost for Navitus Bay to £50 per unit, potentially upping its
:25:24. > :25:28.profits. The Government is investing heavily now, hoping to bring costs
:25:28. > :25:32.down later. The cost reduction depends a lot on how many you build.
:25:32. > :25:36.If you build enough wind farms there is an incentive to promote new
:25:36. > :25:39.technologies, introduce new competitors into the supply chain to
:25:39. > :25:44.drive down the costs. You need to invest now and then you have a
:25:44. > :25:48.sustainable low carbon electricity generation for the UK, you have more
:25:48. > :25:52.jobs in the UK from this new industry. But others suggest these
:25:52. > :25:56.Government subsidies paid for by the taxpayer are simply lining the
:25:56. > :26:01.pockets of developers. Offshore wind is all about money. It's about
:26:01. > :26:06.harvesting the subsidies much more than it is about developing
:26:06. > :26:11.renewable energy. In fact, I would say that aside from the National
:26:11. > :26:17.Lottery and possibly illegal drug legaling, there is no finer
:26:17. > :26:21.mechanism for taking money from the poor and giving it to the rich,
:26:21. > :26:26.developers and landowners. Navitus Bay has held public meetings in
:26:26. > :26:33.every town which could be affected. And in swannage San drew is still
:26:34. > :26:38.far from convinced by the visuals. In this one the Isle of Wight is
:26:38. > :26:42.really hardly visible. It looks smaller. I know what the Isle of
:26:42. > :26:47.Wight looks like ap that doesn't look right. The feeling generally, I
:26:47. > :26:51.suppose, is negative. Sadly. But they have to look at the big
:26:51. > :26:55.picture. If we don't get away from fossil fuels, and don't invest more
:26:55. > :26:58.in renewables, then we are going to ruin our coastline anyway. The
:26:58. > :27:04.difficulty for us is trying to deliver a project which is going to
:27:04. > :27:08.contribute to the UK national requirements but also take on board
:27:08. > :27:16.the considerations of the local communities that will be affected by
:27:17. > :27:24.the project. I was very surprised that they were, in effect, 155
:27:24. > :27:31.metres wide. I know — I have watched 100 metres being run. And it's — it
:27:31. > :27:41.takes imagination to see something that's half as wide again as that.
:27:41. > :27:46.I am sure you will let me know your thoughts on that one.
:27:46. > :27:51.Talking of e—mails let's see what caught your ear last week. First,
:27:51. > :27:55.our story about compulsory kill cords. I am horrified the wearing of
:27:55. > :28:01.kill cords in any power boat hasn't been made compulsory. It correctly
:28:01. > :28:09.worn saved the lives of my children 20 years
:28:09. > :28:38.Next week, how safe is the food we put on our tables? We ask a
:28:38. > :28:43.celebrity food critic to investigate.
:28:43. > :28:52.Join me for the truth behind food fraud. That's Inside Out next Monday
:28:52. > :28:53.here on BBC up with. —— on BBC1.