Zoe Jones Social Care Transformation Project Manager 01908 253410 [email protected]...

Zoe JonesSocial Care Transformation Project Manager

01908 253410www.milton-keynes.gov.uk/careact

[email protected]

The Care Act

http://www.milton-keynes.gov.uk/careact

The Care Act is built around people, it:

• ensures that people’s wellbeing, and the outcomes which matter to them, will be at the heart of every decision that is made;

• creates a new focus on preventing and delaying needs for care and support, rather than only intervening at crisis point, and building on the strengths in the community;

• puts carers on the same footing as those they care for;

• embeds rights to choice, through care plans and personal budgets, and ensuring a range of high quality services are available locally.

What does the Care Act do?

The Care Act: reforming care and support

What has changed since 1st April 2015?

Wellbeing underpins the entire Care Act. The Council must think about someone’s wellbeing when carrying out any of its care and support functions:“Wellbeing is a broad concept, and it is described as relating to the following areas in

particular:• personal dignity (including treatment of the individual with respect);• physical and mental health and emotional wellbeing;• protection from abuse and neglect;• control by the individual over day-to-day life (including over care and support provided

and the way it is provided);• participation in work, education, training or recreation;• social and economic wellbeing;• domestic, family and personal;• suitability of living accommodation;• the individual’s contribution to society” Care Act Guidance pg 1.”

• There are now duties and powers to “meet needs” rather than entitlements to services.

Preventing, reducing and delaying needs• Universal duty: applies equally to those not receiving services and their

carers.• Primary, Secondary and Tertiary prevention.• Strategic approaches and working with partners and voluntary services.• Regulations cover charging for prevention: limits and specific free

provision.



Prevention • The Care Act makes it clear that to promote wellbeing we should

work to prevent needs developing or getting worse and not wait until people reach crisis point.

Care and Support Information and Advice• Duty to provide a wide range of accessible information and advice • At various points in the customer journey e.g. needs assessment,

carer’s assessment, care planning and review

Advocacy • Duty to provide an independent advocate where someone has

substantial difficulty being involved in the process and there is no one to act on their behalf.


Transition to adult care and support• 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.

Personal Budgets• Personal budgets are now recognised in law. A personal budget is a

statement that sets out the cost to the council of meeting care needs.

Care and Support Assessments

• Assessments consider people’s strengths. They look at how to prevent or delay needs getting worse and make sure that people have the information and advice they need about other support available locally.

• There is now a national minimum eligibility threshold for care and support. This is based on “significant impact on wellbeing”.

• Assessors must have the appropriate skills, knowledge and training to carry out assessments for people with Autism.




Eligibility for Adults with Care Needs

An adult with care needs will qualify for support if their needs assessment shows:

the need for support is due to a physical or mental impairment, or an illness

the person is unable to achieve two or more of a list of specified ‘care outcomes’

this has a significant impact on the person’s wellbeing.

Eligible outcomes for Adults with Care Needs:

• managing and maintaining nutrition• maintaining personal hygiene• managing toilet needs• being appropriately clothed• being able to make use of the adult’s home safely• maintaining a habitable home environment• developing and maintaining family or other personal relationships• accessing and engaging in work, training, education or volunteering• making use of necessary facilities or services in the local community, including

public transport, and recreational facilities or services• carrying out any caring responsibilities the adult has for a child



Eligibility for Carers:

A carer will qualify for support if their needs assessment shows:

the need for support is due to providing necessary care to an adult Whether the carer’s physical or mental health is deteriorating or at risk or

doing so OR whether the carer is unable to achieve any of a list of other outcomes which may apply

As a consequence, there is, or is likely to be a significant impact on the carer’s wellbeing

Eligible Outcomes for Carers:

• carrying out any caring responsibilities the carer has for a child• providing care to other persons for whom the carer provides care• maintaining a habitable home environment in the carer’s home, whether or not

this is also the home of the adult needing care• managing and maintaining nutrition• developing and maintaining family or other personal relationships• engaging in work, training, education or volunteering• making use of necessary facilities or services in the local community, including

recreational facilities or services• engaging in recreational activities.


Any Questions?

Zoe Jones Social Care Transformation Project Manager 01908 253410 [email protected]...

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