07/10/2013 Inside Out South


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Hello from Bournemouth and welcome to Inside Out. Your stories from


where we live. He was what is coming up tonight. Who am I? Isabel. Well


done! Poor food and not enough of it, we investigate how residents in


care homes are suffering from malnutrition. We were shocked to


discover from a chef in a care home that his budget has been reduced to


£8 per week per resident. And the future of green energy or a


blot on the landscape? We are in Dorset for the battle of Navitus


Bay. We are providing power, the equivalent of 790,000 homes,


directly into that area where you have that high demand. Offshore wind


is all about money, it is about harvesting subsidies, much more than


it is about Britain developing renewable energy. I am John Cuthill


and this is Inside Out for the South of England.


We start with that disturbing story about malnutrition in care homes.


Poor food or not enough of it or even when there is, not enough staff


to help you when you need it most. Tonight, we investigate how a system


set up to protect some of the most honourable in society is not


working. —— the most vulnerable. You may have seen them on the X


factor. Many of the people here belong to the nostalgics, a surprise


group of pensioners voted through on the talent show. —— the Nostalgics.


Although they were thrilled, they decided to bow out of the


competition and stick to singing for charity and that their weekly yet


together is. But what an inspiration they are. Sadly, not all of us will


stay this active. About one in six people over 85 will


end up in a care or nursing home. And when we get there, we will be


paying hundreds of pounds a week for the privilege. So you think the


least they could do is make is a good meal. But that is not is what


is happening in many home is up and down the country. It is estimated


that one in three residents right now is suffering from malnutrition.


For the body responsible for inspecting homes, the Care Quality


Commission, that is a huge concern. Shockingly, all of the inspection


reports you are a bad to hear come from homes in the South of England.


—— you are about to hear. Three people told us they did not


like the food. Although some of the homes featured


have turned a corner, they paint a worrying picture of staff unable to


help and budgets cut to the bone. We have been speaking to families


across the country who were worried about relatives. Many have seen


mothers or fathers dramatically lose weight after they go into a home.


The first year, I think everything was OK and in the second year he


began to lose weight and I noticed his clothes were loose so I


mentioned it several times and people would say, " weight loss goes


hand—in—hand with dementia." I am sure it does but when he was with


me, she would always eat everything. He needed a lot of support when


eating. If you gave him a sandwich, you would need to say, "put it in


your hand, put it in your mouth." He would eat the plateful. Eventually,


when his clothes fell off, I took him to the doctor, who said we


should put him on supplements but that seems crazy when he had


recently been to my house for Christmas dinner and eating the same


amount as everyone else. Too often, people who need extra support do not


get it. During lunch, we observed one person...


It was is changing attitude to food that first confirmed to Sarah that


her father had dementia. She very soon realised how much help he was


going to need in the future. He would not recognise his favourite


food, for instance he loved lasagne and I made it for lunch and he was


sort of... What is this? I would say it was lasagne and he would ask...


What is that? That is when I realised. He would try to fill it a


parsnip like a fish and eat the lemon or the wash rabbit shores ——


or the horse radish sauce. He did not have any full or empty signals.


He was not able to say when he was hungry. If you offered him a choice


of food, he would say the last thing you said or no thank you. If you


gave him food, he would eat it all. He would tell you he didn't want


anything and then eat a full meal. Bill Francis lost so much weight in


his previous care home that his daughter thought the Care Quality


Commission should take action. I reported things to the CQC and they


did an inspection and it was then that it struck a chord with me and


the penny dropped, they failed the home on three of the five main


outcomes, one of them being that the nutrition and hydration was not


being recorded correctly. The staff were unable to cope. Although weight


loss can be linked to health, groups such as the Relatives And Residents


Association say that leaving anyone malnourished is a form of abuse. The


CQC study showed that one in six care homes were not helping people


enough to eat and drink. That is a huge number. We're talking about


something like 17% of all care homes and we don't really know what is


happening to those people. We know of people who have lost huge amounts


of weight in homes because their weight has not been noted, they


nutrition and hydration intake has not been measured and it has been up


to the relatives to point this out. We know that something like 20,000


people in care homes have no relatives or visitors and who is


looking after their welfare? Who am I? Isabel. Well done, yes!


Some families have become so concerned that they want to start a


nationwide campaign to force improvements on the whole sector.


Isabel Brown moved her mother Rita three times, the latest move just


the previous day to somewhere with excellent food. She did not see why


the previous home should charge nearly £600 a week and serve her


mother the sort of food she had never eaten a full and did not want


to start eating now. This was less yesterday lunchtime, some of the


food that was being served. Everything looked the same, orangey


brown. It was baked beans on toast. Mum had the same everyday. What did


you have for lunch? Two poached eggs is every lunchtime and you have high


cholesterol, which does not help. Mum did not eat those sorts of


foods, she was a brilliant cook and would sort out local produce from


the market we lived. It was just old people's food, sloppy things. School


dinners. You got there and! You like vegetables. Yes, vegetables. You


haven't had many, have you? No. Sometimes, for financial reasons,


they cut back on the amount of money they spend on food. It is supposed


to be your home. It is not up to the manager or the catering manager, the


government has decided in the regulations that people must have,


not should or could, but must have a choice of nutritious, healthy food.


They must also be able to choose when they eat and so it should not


be like school dinners, that you have to eat when you're given it.


And it should be something you enjoy, something sociable or not,


according to your preference. But according to the staff's preference


or what is easy, but what you want and, for a lot of people, they don't


feel they have any choice and that is not good enough.


Is what food do you like. —— what food do you like? It is all right.


You like vegetables and fruit. The vitamins are good for you. There no


vitamins in a tin of ravioli. We want to start a campaign that they


have to provide good, nutritional food. You can go into a supermarket


and buy some vegetables. You can make fresh food. Like you did and I


do. We were shocked to discover from a chef in a care home that his


budget had been reduced to £8 per week per resident and he left


because he said he couldn't do a decent job on that kind of budget.


It is excellent that the CQC have done a study showing that attrition


and hydration —— nutrition and hydration needs to be parsley


improved in care homes but it is not good enough to do a study in


isolation, they have to go back to those homes and check that they have


improved and, if not, why not. For many in care food is the highlight


of the day but too often it would seem the quality and quantity leave


a lot to be desired. One man we came across found things had got so bad


he actually checked himself out of his residential home and is now


catering for himself. The food wasn't brilliant. Some of the meals


were very disappointing. Some were all right, but many were served with


tough meat, tough pastry and I don't know how people managed to eat them,


especially with the older people with false teeth. I had to have some


food brought in. One of the things I used to do is have fish and chips


brought in at night and so did one or two of the other residents. Some


of the food we had was perhaps a fish finger at tea, with two or


three waffles and a spoonful of baked beans and perhaps Ely and some


—— Ely and some cream —— jelly and cream, not nutritious for people.


Have a piece of cheese on toet. The —— on toast. The toast was probably


burned and not very nice. It wasn't very filling. He was very unhappy in


the home. He was short of food and what he was given was not very


appetising. Obviously cheap food, and it became —— and he became very


unhappy and I used to take food in virtually every day. Colin is now


managing well at home with the support of visits three times a day


to help him get up and go to bed. I am pleased to be able to look after


myself and cook my meals as I wish and how I want them. It's quite an


interesting thing. I was a little bit of a misfit in the home due to


the fact that I got my faculties and could see what was going on. A


number of other people couldn't, they didn't know. I feel sorry for


them. With 151 homes currently recorded as failing on nutrition by


the Care Quality Commission the regulator told us they would like


people to contact them if they have concerns. What we would hope is


people would be able to talk to the provider and say this isn't good


enough. We know sometimes that's not easy for people and we would invite


people to tell us about their experiences. They can do that


directly with an inspector when they're on site obviously, but all


the time they can contact us through our website where people can leave


comments about the services they're actually using. We really do want to


hear from people. That's how we decide — that's how we know where we


need to focus our attention and go from the comments we receive, and


it's obviously key. We know that many homes do offer


excellent food to their residents. But it doesn't take long to find


reports that show that when it does go wrong or corners are cut it can


have disastrous consequences. During one inspection officials saw a care


homeworker pick up porridge from down the side of a chair, scrape it


back into the bowl from which a resident was eating, and wipe their


fingers on it. Pies were served covered in mould to other residents


suffering with dementia. A pensioner looked like a skeleton after she


starved to death at a nursing home where she was a high—risk patient an


inquest heard. As you get older, it's very


important to enjoy food, very important.


# Sing, sing a song... Let us know your stories, good and


bad. You can e—mail me. Or even better send me a photo of the food


and we promise to try and help sort out some of the worse ones


Now the argument over our green energy sources continues as Britain


tries to up its renewable energy sources. Here off the Dorset coast


there are plans to build 200 wind turbines out there, great for the


green energy lobby, but not so good if you want to enjoy the view. The


coast in Dorset, deemed so special that like the Great Barrier Reef


it's a world heritage site. The view from this cliff remain —— from this


cliff's remained the same. But that could change if a wind farm — let's


get our bearings. There is Bournemouth. The Isle of


Wight, the Needles over there. This is where the wind farm is planned


for. Over nine miles away from the second closest spot to the wind


farm. They will be highly advice fribl


from the coast —— highly visible from the coast. It spans about 60


degrees of the horizon which is roughly that. When you are looking


out to sea you see this wall of turbines before you. The


Government's keen to build offshore wind farms in order to meet its


target of producing 15% of our energy needs with renewables by


2020. Thanet off the Kent coast is designed to pump a maximum of 300


megawatts into the National Grid. Developers claim Navitus Bay could


provide almost four times that, 1100 megawatts, equivalent to almost 2%


of the UK's electricity needs. It's easy to say it's 2%, therefore we


must have this 2%. My argument would be, well, before you start


detracting from areas like this, the nation's jewels really, why don't


you try harder to exploit other areas which have fewer and negative


impacts? Why is there a plan to build a wind farm which at its


nearest point would be 8.6 miles off the Needles? The area was chosen by


the Crown estate, they're the landlord of the seabed. They


identified nine zones around the UK coastline, it's got good wind


speeds, wind off the Atlantic. Relatively shallow water. Really


importantly, it's very close to a high area of energy demand. We are


providing power, the equivalent of 790,000 homes, to about nine times


the number of homes in Bournemouth, directly into the area where you


have that high demand. Latest Government figures show 3% of the


UK's electricity is now produced by offshore wind.


Tea, please. The thing is we don't just need more energy, we need to


find new ways of producing it. Right. No biscuits, we will crunch


numbers instead. Boiling your average kettle will turn up 2.2


kilowatts. Navitus Bay claims its turbines could provide one gigawatt


of electricity, that's the same as 454,000 kettles. A lot of tea.


But some say we should question these estimates as some existing


wind farms haven't lived up to the claims they first made. Wind is


intermittent. When there is no wind, which is frequently, particularly in


hot or very cold weather, then no energy is generated by wind


turbines. We have to be very careful about the claims made by companies


for the capacity of their wind farms. They tend to either quote


100% capacity, when we know that is not the case. Or they use the


industry standard which is 30% efficiency. In fact, the actual


capacity, the production from these wind farms is sometimes in the order


of 22%. So significant project, delivering 790,000 homes worth of


energy and it would contribute to the national targets, not just for


renewable energy, but for combatting climate change. It will reduce the


amount of carbon dioxide by 1.15 million tonnes per year, so it's a


significant project in a major contribution.


Another controversy is over these visuals Navitus Bay has drawn up to


show how the development will look. This is the view from a beach near


Bournemouth. The 200 metre turbines just about visible on the hor ie


zone. —— horizon. The group commissioned


its own graphics which it says give a more accurate idea of the scale of


the turbines. The major difference most locals will be aware of is the


landscape in the developers's visualisations looks smaller than it


really is. When you see our videos on a television screen I think you


get a much more realistic impression of scale so the turbines look more


like they will look in practice. The official guidelines for producing


visuals like this were drawn up seven years ago by Scottish National


Heritage. They're currently under review after complaints that


turbines on some wind farms in Scotland looked much larger once


built than the visuals had suggested. We are following what is


deemed to be the best practise within the industry and endorsed by


the landscape institute. The problem is it's seven years old. It's seven


years old, but irrespective of that it's still acknowledged to be the


best industry practice. If it changes, we will obviously adapt our


images accordingly. Angela is a green campaigner. She


lives in Bournemouth where the wind farm would be 12.2 miles out to sea.


She's keen to get moving on renewable forms of energy. But she's


meeting opposition from the tourist industry in the town. Councillor


Mike Green is for renewables but against the wind farm. His concern


is tourism, hence these sticks of rock. Brandishing their respective


weapons, but promising not to use them, we have asked the two to meet


and thrash things out. We all know we will need to be able to reduce


our carbon emissions, we need to look at carbon saving. Let's look at


an efinishent way rather than coming up with something that could be


catastrophic for the local tourism economy —— efficient. I believe the


evidence used is anecdotal. It hasn't been proved. In other areas


where they've had concerns, one recently, it's been proved wrong.


What Bournemouth should be doing is say look, come on, see this


wonderful wind farm, we are committed to renewables. We are


committed, we have a green agenda. Come and see what we are doing


locally. All of our economy is based on tourism. We can do what we can


for the green economy but this is the wrong place at the wrong price


and at the wrong time. Whilst these two are sorting out their


differences time for me to do a little survey.


Wind farms or tourism, which is more important? I don't think the


tourists will mind a wind farm. They're friendly looking things. It


doesn't worry me. I am not a tourist, I live here. Doesn't worry


me. No, stick them up. This town needs tourism because this town —


tourism brings money to us. I wouldn't like to be able to see


them. You don't want to see anything out there? Keep it natural like


that. If there's wind farms nobody's going to sit and look at them.


They'll still come here. You still have the beaches. Which one?


Turbine. Yeah, turbines. So, that's the word on the waech. —— beach. All


this new technology doesn't come cheap.


The cost today is about £140 per megawatt hour which compares to...


Phil from the carbon trust says companies producing offshore wind


can get Government subs can Is —— subsidies. This could drive down the


cost for Navitus Bay to £50 per unit, potentially upping its


profits. The Government is investing heavily now, hoping to bring costs


down later. The cost reduction depends a lot on how many you build.


If you build enough wind farms there is an incentive to promote new


technologies, introduce new competitors into the supply chain to


drive down the costs. You need to invest now and then you have a


sustainable low carbon electricity generation for the UK, you have more


jobs in the UK from this new industry. But others suggest these


Government subsidies paid for by the taxpayer are simply lining the


pockets of developers. Offshore wind is all about money. It's about


harvesting the subsidies much more than it is about developing


renewable energy. In fact, I would say that aside from the National


Lottery and possibly illegal drug legaling, there is no finer


mechanism for taking money from the poor and giving it to the rich,


developers and landowners. Navitus Bay has held public meetings in


every town which could be affected. And in swannage San drew is still


far from convinced by the visuals. In this one the Isle of Wight is


really hardly visible. It looks smaller. I know what the Isle of


Wight looks like ap that doesn't look right. The feeling generally, I


suppose, is negative. Sadly. But they have to look at the big


picture. If we don't get away from fossil fuels, and don't invest more


in renewables, then we are going to ruin our coastline anyway. The


difficulty for us is trying to deliver a project which is going to


contribute to the UK national requirements but also take on board


the considerations of the local communities that will be affected by


the project. I was very surprised that they were, in effect, 155


metres wide. I know — I have watched 100 metres being run. And it's — it


takes imagination to see something that's half as wide again as that.


I am sure you will let me know your thoughts on that one.


Talking of e—mails let's see what caught your ear last week. First,


our story about compulsory kill cords. I am horrified the wearing of


kill cords in any power boat hasn't been made compulsory. It correctly


worn saved the lives of my children 20 years


Next week, how safe is the food we put on our tables? We ask a


celebrity food critic to investigate.


Join me for the truth behind food fraud. That's Inside Out next Monday


here on BBC up with. —— on BBC1.


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