Care for the Elderly

 One thing that the pandemic highlighted was the lack of protection in the residencies, the care-homes for seniors.

Responsibilities were eventually pointed at everyone except those responsible, as often happens here, and some changes were (we hope) made, although a story this week of 34 of the 39 seniors in a centre in Santiago de Compostela infected with Covid and, we read, left in their own waste for twelve or thirteen hours each night (here) doesn’t inspire much confidence. Who is responsible for that?

José Antonio helps with BoT from his own room in a residence down in Málaga. He says that the issue is the people who come through the door – delivery men, gardeners, visitors – all capable of bringing infection with them. Then, it’s also the case, he says, that old people don’t shake off bugs like younger people do; and furthermore, they aren’t very good at keeping their masks on properly.

There’s also, of course, the funding – often subject to sad but no doubt necessary economies: particularly in PP bulwarks. We know that most residences will take some social security patients, while other ‘private’ clients will be paying something around 1,700 to 2,000 euros a month.

We are assured that the Spanish (unlike their northern neighbours) always prefer to keep the old ones at home with them, and this may be partly true, but now with less time or the whole family working or the space needed (as the kids just won’t leave home), the attractions of an old folks’ home may, however unwillingly, become the solution.

Many years ago, I was working on a project (with our old friend Per Svensson) to introduce a different kind of nursing home in Spain. The idea at the time was for a wealthy Nordic town hall – we were looking at Bergen – to build their own residence in Spain as the costs would be cheaper than in Norway and the patients would be pleased. The proposal was to build apartments which belonged to the foreign town hall but were leased for life to the residents (either private or social security) – and with a spare room to keep their families happy.

We looked at one location in Almería, I remember, which was close enough to the shops and the bars for the residents to egress from their rooms when the fancy took them.

This week, El País in English features such a place in Alicante’s Alfaz del Pi, the magnificent Forum Mare Nostrum (here) and says that there is now plans from foreign companies for others to be built. A small heads-up: the El País article has this line: ‘…To live in Forum Mare Nostrum, residents must make an advance payment of between €100,000 and €230,000 and pay monthly rent, which ranges from €350 to €950…’.

I checked with another such centre down (these days, you look something up, and along comes a slew of advertisements on a similar subject) in Benalmadena (Málaga) called Sensara (here) which is clearly not cheap, but it looks pretty nice.

Another idea for seniors is to pool their money and build/open their own purpose-made residence, sometimes called cohousing (which is explained here). A page for cohousing in Spain is here and an example of one from Google is ‘…an affordable cohousing home for the 50plus generation…’ called Espadevida (it’s near Mojácar, Almería) here.

Perhaps one of those 2,800 empty hamlets scattered across Spain could be re-bored into a retirement village. Perhaps they could refit the doomed Hotel Algarrobico into another.

All fine, if either granddad or the family has the money; if not, it may be back to the residencia where things will not be as bright (especially as one’s comprehension of Spanish may begin to recede with age and deafness and who knows the embarrassing words that indisposed seniors may find that they would suddenly need in a small emergency…)?

The Spanish residencies won’t have English-speaking staff (or TVs) and there may be a call to find a better answer for the foreign residents.

After all, sending them ‘home’ is, I think, a sad solution.