OVERVIEW OF CARE ACT AND RICHMOND COUNCIL PROGRAMME

Staff Conference 10 November 2014 Derek Oliver, Assistant Director, Adult and Community Services

Structure of Presentation

 Provide details about the key changes  Council`s programme and readiness

Aims of the Care Act

   Provide

clearer

and Promote people’s

fairer

offer

wellbeing

Enable people to

prevent and delay

the need for care and support,   Enable

Carers

to maintain their caring role Put

people in control

of their lives so they can pursue opportunities to realise their potential 3

Legal framework of Care Act

Underpinning principle Wellbeing General responsibilities and key duties Prevention Key processes Assessment and eligibility Information, advice and advocacy Charging and financial assessment Integration, partnerships and transitions Care and support planning Diversity of provision and market oversight Personal budgets and direct payments Review Safeguarding

4

The wellbeing principle

         Personal dignity Physical and mental health and emotional wellbeing Protection from abuse and neglect Control over day-to-day life Participation in work, education, training or recreation Social and economic wellbeing Domestic, family and personal Suitability of living accommodation Individual’s contribution to society 5

New responsibilities for local authorities towards all local people

    

Prevent, reduce or delay

peoples’ needs for care and support Provide

information and advice

, including independent financial advice

Collaborate

and

cooperate

with other public authorities, including integration with NHS and other services Promote

diversity and quality in the market

of care providers Ensure that no one is left without care if their service closes because of

business failure

6

New duties for local authorities

    Duty to meet

carers’

eligible needs and prepare a support plan Duty to arrange

independent advocacy

if person unable to participate in or understand the care and support system New statutory framework for

protecting adults from neglect and abuse

. Duty to investigate suspected abuse or neglect, past or present, experienced by adults still living and deceased Duty to assess young people and their carers in advance of

transition

from children’s to adult services, where likely to need care and support as an adult 7

New duties in relation to safeguarding

     Statutory guidance replaces ‘No Secrets’ guidance To make enquiries, or cause others to do so Set up a Safeguarding Adults Board (SAB), with core membership from the local authority, the Police and the NHS Arrange, where appropriate, for an independent advocate to represent and support an adult who is the subject of a safeguarding enquiry or Safeguarding Adult Review Core partners to co-operate in order to protect adults experiencing or at risk of abuse or neglect

Safeguarding Adult Boards (SAB) must

    Publish a

strategic plan

for each financial year that sets out how it will meet its main objective.

Publish an

annual report

detailing what the SAB has done during the year to achieve its objective and what it and each member has done to implement its strategy.

Decide when a

Safeguarding Adults Review

is necessary, arrange for its conduct and implement the findings.

 (The purpose of an SAR must be to learn lessons and improve practice and inter agency working.) The SAB can require information from an organisation or individual relevant to its functions

Assessment and Eligibility process

Assessment

• What are the needs and outcomes the person wants to achieve?

Eligibility determination

• Are the person’s needs eligible?

Financial Assessment

• Charges based on charging policy and subject to limits

Deferred payment agreement

• Must be offered to anyone who meets the criteria 1 0

Care and Support Planning process

   Care and support planning should put people in control of care Person must be actively involved and influential throughout the planning process Independent advocates must be instructed early in planning process for people with substantial difficulty and no other means of accessing support to facilitate involvement 1 1

  

Personal Budgets, Direct Payments and Review

The personal budget and direct payments must be

sufficient

to meet eligible care and support needs The overall cost must be broken down into:  the amount the person

must

pay  the amount the authority

w

ill pay The review process should be:  person-centred  outcomes focused   accessible proportionate to the needs to be met 1 2

Implications for people needing care and support

    Better access to information and advice, preventative services, and assessment of need An

entitlement to care and support

A

cap

on care expenditure which an individual is liable for comes into effect from April 2016 A common system across the country: 

Continuity of care

 Fair Access to Care Services (FACS) replaced by a

eligibility threshold national

1 3

Vision

Enabling a full life

We aim to offer the right amount of care and support at the right time and place.

We are committed to supporting citizens in their journey and enabling them to be in control of their wellbeing.

Richmond`s programme work streams and lead officers

Programme Sponsor with overall responsibility:

Derek Oliver

Programme Manager for delivery:

Gill Ford Community Offer Market Shaping Prevention Safeguarding Social care charging Lynn Wild Amanda McGlennon Janet Cole Jon Norris Jeremy DeSouza Di Manning Anna Raleigh Andrew Rhodes

Key deliverables (1)

       Adult Prevention Strategy Enhanced provision of information and advice (including financial advice) Reviewing Safeguarding Board Reviewing safeguarding interventions - Making Safeguarding Personal Reviewing and streamlining how adult social care is delivered to service users and carers Implementing new eligibility framework for users and carers Devising fair and equitable system for allocating Personal Budgets

Key deliverables (2)

      Enhanced advocacy offer Changed carers offer to ensure more carers are reached and duties fully met New charging policy Wider availability of deferred payments Introduction of Care Accounts to track progress towards Care Cap in 2016 Market Position Statement

Readiness check

Programme and implementation plan in place Local health and social care systems leadership awareness and engagement Progress in forecasting future demand and implications Concerns regarding cost of reforms, immediate and on-going Workforce IT systems Unknown risks

   

Summary

Significant modernising legislation incorporating :   New duties for local authorities New rights for service users and carers Aims to make care and support clearer and fairer and put wellbeing at centre of decisions and extend personalisation Local authorities have new responsibilities to all local people, including self funders Significant changes to the way that people will access the care and support system 1 9