Over the last few days I've been bashing carers in the community, so I think I need to end the week on a happy note, places where carers are doing their jobs properly.

The first was in a group home for severely mentally disabled people - one of them had wet the bed and while they were removing the mattress to clean it and let it dry out in the garden our patient had become agitated. He'd ended up falling against a door frame and had a cut to the back of the head.

We arrived and the house was clean, the residents were clean and well looked after and there was a general 'good vibe' about the house that was hard to put a finger on. The staff were happy and interacted with the residents and it just seemed like a nice place.

Once more (see Mavis in yesterdays post), we considered the patient suitable for wound cleaning and closure at home - dragging him off to the hospital would only distress him. So our ECP came and sorted him out. The staff at the home were grateful for this and we left with a feeling of a job well done.

The other place that I want to celebrate is the John F. Kennedy Special School in Newham (who it would appear don't have a website). This is a special needs school that teaches severely disabled pupils. Every time I go there it reduces my cynicism level by a couple of notches. The staff there all know the children - they look after them and when they call us, its for a good reason.

As every staff member knows every child it's never a problem to find someone to accompany one of the children to hospital and the way that they interact shows us that they aren't just 'performing' in front of us.

Once more it's a good vibe that I can't quite describe - but I just know that this is a good place for the children and the staff alike.

There. I can be positive sometimes.