Carer’s tales

There are rhythms to the deployment of carers. Some arrive according to a rigid timetable set by tablets. If a certain medication has to be taken at regular intervals, with no more than a 10 or 15 minute variation, the carer has to turn up at those times.

This tends to mean that the carer who arrives is more often than not the same one. They have their regulars and a regular schedule so they can get from one client to the next on a predictable timetable. They are, of course, not paid for travel time and the pressure to get from one job to another can lead to road accidents. One we know was trying to save a second or two and crocked her car gliding into the one in front, damaging it enough for it to be out of action for a week. She was unable to get work until it was fixed because they are all dependent on cars to get from one job to the next. She now drives very carefully because the pressure isn’t worth it.

Because they travel by car, they come from quite a range of places, from Forest Gate in the West to Canvey Island in the East. One had moved from a flat off Tottenham Court Road in the heart of London down to Purfleet – because the housing is more affordable – and taken the job for the excitement; explaining that “Nothing ever happens in Purfleet”.

Pay for each visit is presumed to match the half hour or 15 minute slot that the company is paid for. This does not always match reality. If a client has a medical emergency it can take longer, so there has to be a scramble to fill the slots that are down the line. If all goes well, the routines of getting a client onto the commode, sorting all that out, getting them washed, dressed and chatted to can be done more quickly. In the case of housebound people with no family support, the last job is the only social contact and conversation they will get all day and is a crucial part of the job.

One that came to ours a few days ago said that she has a core of bedbound people who are her regulars. Somehow she has got into the habit of singing to them, and taking requests. Some of the old ladies like the Ronettes, and bands like that, but she has one old gentleman who is into heavy rock and usually wants something by Metallica – which is truly above and beyond.

Some carers are chatty, some quietly get on with things and converse functionally. Most are pretty upbeat. Most of them are women. Many are black. Most of the white ones have tattoos. There is a high turnover. A core of veterans keep things going while newcomers either adapt or, finding it too much, leave.

Some of them wear fans around their necks because, even during a heatwave, some of the clients have their heating on, and cranked up high.

None of them are in a union.

I complement one on her pair of colouful converses and she says that she loves them, has 14 pairs, but is now boycotting them because of Nike’s sponsorship and partnership deals with Israel.

Several have said they like coming to us because we are friendly and take an interest. Many of the clients have dementia, so can be terrified and aggressive. Some are racist and don’t hold back about it even though they are being looked after – possibly because they are being looked after and resent it. This is sometimes the case with relatives too.

If the family is covering meds and, to a lesser extent, food, the schedule for visits can swing quite wildly, with the getting up arrival ranging from slightly before 7am one day to well after 9am the next. During the Summer holidays schedules get stretched because carers with children have them on their hands, but as Winter approaches they also get harder to fill because its getting dark, dank and miserable and, people get ill.

Some of the overnight crews, who are always in twos and arrive in the wee small hours to give bedbound people a turn, or deal with pads, can be loud – car door slams, a conversation that would be loud for the middle of the day erupts up and down the path to the back door, a scrabble for the door lock, the door goes crunch and the loud conversation imposes itself on the living room downstairs for a while, before the whole thing repeats itself in reverse on the way out. Others arrive with the stealth of Ninjas, but greater consideration. Some of them close the side and front gates on the way out. Some let them swing in the breeze.

Bending it… but not quite like Beckham.

An extraordinarily well camouflaged butterfly in a rewilding garden somewhere in Essex. Look closely and you can see its eyes and antennae.

The slogan of the Essex and Suffold water company is “living water”. In current circumstances they might want to chnage that.

One of the people I argue with on the Next Door site goes under the moniker “Brick Oboe”. I find it hard to believe that that is his actual name. It sounds like the most obscure of the seventies rock bands who named themselves after the slang for an erect dick: Led Zeppelin, Steely Dan, Brick Oboe.

In the distance in the playing field opposite my parents house a strange figure dressed in a pink and white hazmat suit and medical mask looks as though he is prospecting for metal, or perhaps mines; sweeping his device from one side to the other, slowly, cautiously, systematically. As he gets closer, it turns out he is mowing the grass. The PPE seems a bit extreme for that. Perhaps he has a serious grass allergy.

A week later, the whole field gets done by a tractor; which makes you wonder what the point of the bloke in the Hazmat suit was. Perahps he was just doing the irradiated grass…I take a deep sniff as I walk past for that fresh cut grass smell. A job with aromatherapy built in.

The ambulance worker in the non emergency hospital transport taking my Dad to Basildon goes to get a hospital wheelchair when we get there. This is a clunky, heavy device that looks like it was designed to carry industrial goods by a Soviet tank designer. An altogether more robust vehicle than the onboard wheelchair, which has a comfortable seat and at least the impression of suspension. He explains that the industrial design, and weight, of the hospital wheelchair is deliberate; to stop people stealing them. The long poles at the back of some of them are “to stop people getting them into cars. You’d be amazed.”

His colleague on the way back is so annoyed by the bossy recorded posh voice from the in vehicle safety monitor telling him to drive safely and do his seatbelt up that he does it up behind him and sits on it.

Listening to one of the carers chatting to my Dad about his life this morning, it struck me that carers – taken together- have a massive store of oral history about the area they work in.

Chatting to one of them, she said that she felt she had to get the job to stave off permanent boredom after moving to Purfleet from Central London. “Its so QUIET in Purfleet”.

As the stair lift is Dutch, perhaps the music to accompany an ascent should be the Flying Dutchman Overture. The chair goes slowly enough to get quite a way into it.

On the way back from the pharmacy back in NW9, a battered looking yellow football bounces down the path from the estate on Stagg Lane heading swiftly towards the road. I swing my gammy leg towards it and, in a miracle of luck, my dyspraxic slice at the ball conjures up a magnificent banana shot that takes it safely back into the estate and behind the hedge.