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 fairer offer Promote people’s 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

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

Individual is best-placed to judge their wellbeing

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

10

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

11

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 will pay

The review process should be: person-centred outcomes focused accessible proportionate to the needs to be met

12

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 national

eligibility threshold

13

Vision

Enabling a full life

We aim to offer the right amount of care and support

at the right time and place.

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.

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

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

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

19