Services developed in partnership with the voluntary sector
Adult Social Care usually works with and funds voluntary and community organisations and charities to deliver preventative care services. These are a vital form of support and help to maintain independence, social inclusion, and delay or avoid the need for more formal services.
- day services, day care, lunch clubs and social groups;
- befriending, visiting and telephone contact services;
- support schemes to help people being discharged from hospital;
- support for carers;
- respite care or short breaks;
- advocacy, information and advice; and
- handyperson / handyman schemes.
A healthy lifestyle can include eating a healthy diet and taking part in exercise.
Healthy eating – we all need a balanced diet and exercise to ensure that we have good physical and mental health.
Active ageing – there are specialised activity programmes for older people which aim to improve independence, wellbeing and quality of life, and to reduce the risk of falls.
Alcohol and drug misuse – an easy-access service may be available for people whose drug or alcohol use is a problem. It aims to promote health and minimise harm to the individual, their families and the community.
Stopping smoking – use the NHS stop smoking tool to get daily tips for success to stop smoking, visit the NHS Choices website www.nhs.uk
Leisure centres offer many opportunities for getting active and healthy. For details of what’s on, visit your local leisure centre’s website. Exercise does not have to be in a leisure centre and you may prefer to go on walks, either on your own or organised with a group.
Libraries and community hubs
Libraries can provide much more than just books and are often a valuable source of resources for people of all ages. Some regions will have community hubs which include a network of well-connected community buildings that will provide spaces, services and activities for people in their local area. It is intended that community hubs are designed and led by the community. Some areas also operate a ‘books on prescription’ service.
Day care centres
Many older people can feel lonely or isolated without an opportunity to fill their days with meaningful activities. Research has shown that one way to reduce loneliness and promote
wellbeing and independence is regular social contact and activities.
Day care centres give people the chance to have a change to their routine, meet new people, take up an activity or receive specialist services such as chiropody or hairdressing. There is a wide variety around the country, supporting older people, people with mental health conditions, learning disabilities and dementia. Day opportunities can be as important for carers as those attending as they allow for a regular break from caring. Attendance may be free or chargeable, transport and meals must usually be paid for.
Meals on wheels
Meals on wheels are ready meals delivered to your home. There are frozen meal services and freshly-cooked hot meal services. Frozen meals can be delivered in bulk and kept in your freezer until required, whereas hot meals should be eaten immediately. Councils may be able to arrange meals delivered to your door, though you would need to be assessed as eligible for meals on wheels and it wouldn’t necessarily be free. National and local commercial companies also provide meals on wheels or home delivery meals at a charge.
To find out about meals on wheels in your area, look at your region’s page on this website, contact your local Adult Social Care department or search the internet.
Blue Badge Scheme
The Blue Badge Scheme is a national arrangement of parking concessions that allows badge holders to park close to their destination, either as the driver or passenger. The Blue Badge Scheme is also open to organisations that care for disabled people meeting the qualifying criteria.
Occupational therapy provides advice, assessments and solutions for people who are living in their own home and require physical assistance. They provide advice and solutions such as equipment and adaptations. You may be referred to these services following an assessment by your local adult social care or health professional.
There is a range of equipment, daily living aids or home aids available to make life easier and to improve safety and independence, such as stair rails, raised toilet seats, shower stools etc. These simple items are often referred to as ‘simple aids for daily living’.
Advocates can give advice, support and information to people of any age, helping you to voice your concerns and guiding you through difficult or challenging times. Consider using the services of an advocate if you feel unsure or concerned when you are faced with making an important decision about your care choices.
Advocates are not there to tell you what to do or to make decisions for you, but to help you express your views and make your own decisions.
If you contact the local authority for any reason such as for an assessment, the council has a duty to arrange an advocate to support you if it appears that you need one. They usually work with independent advocacy organisations.
How solicitors can help
A solicitor can give you impartial advice about wills, making gifts, estate planning and Powers of Attorney. Some can also offer guidance on immediate and long-term care plans, ensuring (if applicable) the NHS has made the correct contribution to your fees.
Lasting Powers of Attorney (LPA) allow you to appoint someone you trust to make decisions about your personal welfare, including healthcare and consent to medical treatment, and/or your property and financial affairs. An LPA is only valid once registered with the Office of the Public Guardian. It allows for a person of your choice to make decisions on your behalf at a time when you may be unable to.
The Court of Protection can issue Orders directing the management of a person’s property and financial affairs if they are incapable of managing their own affairs should they not have a LPA. The Court procedure is presently very slow and the fees are quite expensive so preparing a LPA is always advisable, providing you have somebody sufficiently trustworthy to appoint as
An ‘advance directive’ allows you to communicate your wishes in respect of future medical treatment but it is not legally binding. You may instead wish to make a living will, known as an ‘advance decision’ setting out treatment that you do not want to receive in specified circumstances, which would legally have to be followed, even if you die as a result.
Any proposed Gift out of your estate needs careful consideration of the benefits, risks and implications, particularly on any future liability for care costs or tax liability.
If you don’t have your own solicitor, ask family or friends for their recommendations. Contact
several firms, explain your situation and ask for an estimate of cost and an idea of timescales
involved. Many firms will make home visits if necessary and will adapt their communications
to meet your needs. It’s important to find a solicitor who specialises in this area of the law. The
Citizen’s Advice Bureau offer an advice service and will be able to recommend solicitors in your area. Alternatively, contact Solicitors for the Elderly www.solicitorsfortheelderly.com
Regulating and inspecting care services
All care providers must be registered under a system which brings adult social care, independent healthcare and the NHS under a single set of essential standards of quality and safety.
The Care Quality Commission (CQC) registers, inspects and reviews all adult social care and healthcare services in England in the public, private and voluntary sectors. This includes care homes, care homes with nursing, home care agencies and NHS services, amongst others.
Inspectors carry out a mixture of announced and unannounced inspections looking at the quality and safety of the care provided. They look at whether the service is: Safe; Effective; Caring; Responsive to people’s needs; and Well-led.
Inspection teams are led by an experienced CQC manager and often include experts in their field. The team may also include professional or clinical staff; Experts by Experience; people who use services and carers.
Following an inspection, each care home and home care agency is given a report of how it rates against national essential standards of quality and safety. CQC has also started rating services as ‘Outstanding’, ‘Good’, ‘Requires Improvement’ and ‘Inadequate’. By March 2016, CQC expects to have rated every adult social care service in England.
This is the consumer champion for health and social care who gather knowledge, information and opinion to influence policy and commissioning decisions, monitoring quality of services and reporting to regulators.
Comments, compliments and complaints
If you use a home care agency or move into a care home or nursing home you should feel able to comment on any aspect of your life which affects your happiness or comfort. This might be anything from the way you are treated by staff to the quality of the food you are served. You should also feel free to make comments and suggestions about possible improvements to your surroundings and the services provided.
Making a comment, whether complimentary or a complaint, should not be made difficult for you and should not affect the standard of care that you receive whether in your own home, a care home or care home with nursing. Care services are required to have a simple and easy to use complaints procedure.
If you are concerned about the care that you, a friend or a relative are receiving, it makes sense to speak to the manager of the service about your concerns before you take any further action.
The problem may be resolved quite easily once they are made aware of it. However, if you need
to make a formal complaint, you should initially contact the registered owners of the service. They have a duty to respond to any complaints made.
If your complaint is about a breach of regulations, contact your local office of the Care Quality Commission.
If your local authority has arranged or contributed to the cost of your service and support, another option is to raise your complaint with your social worker/care manager or the department’s designated complaints manager.
If you have been unable to resolve your complaint you can contact the Local Government Ombudsman to assist you. The Local Government Ombudsman looks at complaints about councils and some other authorities and organisations, including Adult Social Care providers (such as care homes and home care providers). It is a free service and its job is to investigate complaints in a fair and independent way.
Protecting vulnerable adults
A vulnerable adult is a person aged 18 years or over who may be unable to take care of themselves, or protect themselves from harm or from being exploited.
Abuse is mistreatment by any other person or persons that violates a person’s human and civil rights. The abuse can vary from treating someone with disrespect in a way which significantly affects the person’s quality of life, to causing actual physical suffering.
It can happen anywhere – at home, in a care home or a care home with nursing, a hospital, in the workplace, at a day centre or educational establishment, in supported housing or in the street.
Forms of abuse could be physical, sexual, psychological, emotional or financial. It could also cover the issues of neglect and institutional abuse – where the abuse affects more than one person within an organisation and is not addressed by the service’s management.
The person who is responsible for the abuse may be known to the person abused and could be:
- a paid carer or volunteer;
- a health worker, social care or other worker;
- a relative, friend or neighbour;
- another resident or service user;
- an occasional visitor or someone who is providing a service; or
- someone who deliberately exploits vulnerable people.
If you think someone is being abused call Adult Social Care. Your concerns will be taken seriously and will receive prompt attention, advice and support. Adult Social Care will also arrange for an advocate to support you if needed. If you believe somebody is in immediate harm, contact the police on 999.
You can also:
- Contact the Care Quality Commission (CQC) if the vulnerable adult is living in a registered care home, care home with nursing or receiving home care services.
- Let a public service professional, such as a social worker, community nurse, GP, probation officer or district nurse know your concerns. They have responsibilities under the county’s adult protection procedure and can advise you about what to do next.
The Disclosure and Barring Service
There is a barring system for all those intending to work, or are working with children and vulnerable adults.
The Criminal Records Bureau (CRB) and the Independent Safeguarding Authority (ISA) merged into the Disclosure and Barring Service (DBS). CRB checks are now called DBS checks.
The DBS provides a joined up, seamless service combining the criminal records checking and barring functions. These details will be published on the DBS website. For disclosure information and services, visit the DBS homepage www.gov.uk/dbs
Care home owners, home care agencies and employment agencies which supply care workers are required to request checks as part of a range of pre-employment checks.
Care providers and suppliers of care workers are also required to refer workers to the DBS where, in their view, the individual has been guilty of misconduct. It is an offence for an employer or voluntary organisation knowingly to employ a barred person in a regulated activity role.