Improving adult social care

Care and support is changing for the better

The Care Act

From April 2015, care and support in England changed. The Care Act helps to make care and support more consistent across the country.

Care and support

‘Care and support’ is the term used to describe the help some adults need to live as well as possible with any illness or disability they may have. It can include help with things like getting out of bed, washing, dressing, getting to work, cooking meals, eating, seeing friends, caring for families and being part of the community.

It might also include emotional support at a time of difficulty and stress, helping people who are caring for an adult family member or friend or even giving others a lift to a social event.

Care and support includes the help given by family and friends, as well as any provided by the council or other organisations.

Your wellbeing

Many of us will need care and support at some point in our lives and most people will pay at least something towards the cost of their care. The new national changes are designed to help you plan for the future and put you more in control of the help you receive. Any decisions about your care and support will consider your wellbeing and what is important to you and your family, so you can stay healthy and remain independent for longer.

If you receive care and support, or you support someone as a carer, you could benefit from the changes.

You could benefit from the changes if you:

  • receive care and support
  • support someone as a carer
  • are planning for future care and support

Support for Carers

If you provide unpaid care or support to an adult family member or friend you will be able to get helpful advice and information and may, following a carer's assessment, be eligible for practical support to help you carry on with your caring role. We may put you in touch with local support groups so you have people to talk to, or you may be eligible for practical support, like arranging for someone to step in when you need a short break.

When will the changes come into effect?

Changes to social care came into effect on 1 April 2015.

If you currently receive care and support from the Council you do not need to take any action; this will be discussed with you at your next review meeting after 1 April 2015.

Care Act – Delay to funding reforms

Funding reform was due to come into force in April 2016 but the Government has decided to delay implementation until April 2020.

The following proposals are affected:

  • The cap on care costs – delayed until April 2020
  • Changes to the means test – delayed to April 2020
  • A new appeals system – delayed pending the Comprehensive Spending Review in Autumn 2015

The additional time will be used to ensure that everyone with a role in implementation is ready to introduce the new system in April 2020. The time will also be used to ensure that people can understand what it will mean for them and look at what more can be done to support people with the costs of care.


Community Led Support Programme

In April 2012 Derby City Council’s adult social care team began the first phase of the personalisation journey in Derby. A new toolkit was developed, all front line staff had 2-3 days training and we restructured the way in which we were organised. We then began to offer customers self-directed support and personal budgets.

The following year we undertook a review to check out how well we were doing and to gear up for the introduction of the Care Act. Then, from April 2014 we began the second phase of our personalisation journey in Derby, bringing the management of mental health services back into the Council, expanding local area coordination and creating Home First to really make an impact with re-ablement.

In 2014 we used the national Think Local, Act Personal ‘Making it Real’ framework to check our progress on how we were delivering personalisation in adult social care. We asked customers and stakeholders to tell us their experience through a survey, workshop and action planning event. Customers told us their top three priorities for improvement:

 

  1. Improve communication about personalisation – particularly in one to one situations
  2. Increase support and engagement in local communities
  3. Improve communication in general – particularly around change in adult social care.

 

We have made great progress in implementing a personalised approach to adult social care in Derby since 2012. All of our customers living at home now have a personal budget and increasing numbers take this as a direct payment to manage their own care and support.

Last year we published a refreshed adult social care strategy, ‘Your Life, Your Choice’ which described the way in which we need to prevent, avoid and delay people’s needs for ‘formal’ care services.

We are now starting the third major phase of our personalisation journey, developing and embedding Community Led Support. We will further reform the ‘front end’ of our system, changing the conversation that we have with potential customers at the point of ‘assessment’ to build on personal, family and community resources – really driving the reduction / delay / prevention of the need for formal care services. We will be taking our ‘conversations’ with people into local communities at various ‘hubs.’

We believe Community Led Support will help us to continually improve upon the three top priorities that came out of the ‘Making it Real’ framework, which are central to all our improvement and development work.

We will be doing this as part of a national programme led by the NDTi (National Development Team for Inclusion) – with a number of other local authorities doing similar work, learning with and from each other.

The two key strands of the Community Led Support programme will be to develop:

Community led conversations - redesigning customer pathways to generate efficiency, quality of outcomes, proportionate response and the creation of local community ‘hubs’ and

Community led social work – thinking about the ideal model of delivery / team culture that seeks to maximise the opportunities associated with this.

There has been overwhelming support for our decision to do this work, both within and outside of the Council, with people coming forward to get involved.

We have made a decision to start the programme in Alvaston and members of The Alvaston Residents Association are assisting us to identify other local people who we need to work with to make this an authentic ‘community led’ approach.

In the words of one member at The Alvaston Residents Association, the Community Led Support Programme is a plan to:

“bring social care into the community, the idea being that when people need help or information, they don’t have to jump through hoops to speak to the right person, but can see someone who can set up a direct appointment locally for advice and signposting.”

We have created an innovation team; made up of staff, residents and partners to work on creating the first ‘hub’ in Alvaston. Work is progressing at a pace and we aim to be having our first conversations with potential customers in Alvaston by the end of July. We will be learning as we go, fine tuning the process with the goal of rolling out Community Led Support in all areas of the City by April 2017.

Please contact Justin Worton on 01332 642908 or email Justin.worton@derby.gov.uk if you want to know more about the community led support programme, if you are interested in joining the Alvaston innovation team, the local steering group or the citywide steering group.

Downloads

Contact details

Email:
Post address:
Adult social care
People Services
Derby City Council
The Council House
Corporation Street
Derby
DE1 2FS
Phone: 01332 640774
Minicom: 01332 640666
Customer Service Centre
Derby City Council
The Council House
Corporation Street
Derby
DE1 2FS