Important care information
When you’re looking for care and support, there are so many considerations.
Whether you need to find an advocate to support you in your assessment, or want to make a comment about a service you already have, this page of important care information can help you.
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.
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
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.
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 adults at risk is a priority for all local authorities across England and Wales. It is frequently referred to as ‘safeguarding’ adults.
A vulnerable adult is a person aged 18 or over who may be unable to take care of themselves, or protect themselves from harm or from being exploited. This could be someone with a learning disability, a mental health issue, or someone living with dementia.
What defines adult abuse?
Abuse is mistreatment by any other person or group of people that violates a person’s human and civil rights. It can vary, from treating someone with disrespect in a way which significantly affects the person’s quality of life, to causing actual physical suffering.
Forms of abuse include:
It could also cover the issues of neglect, including self-neglect, and institutional abuse – where the abuse affects more than one person within an organisation and is not addressed by the service’s management.
If you suspect abuse, but you aren’t sure if it is a recognised form of abuse, visit the NHS website which gives detailed descriptions and examples of each type of abuse. The Action on Elder Abuse website may also help with spotting the abuse of an older person, or download our factsheet for more detail about identifying and reporting elder abuse.
Where does abuse happen?
Abuse 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.
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.
What should I do if I suspect abuse?
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 at risk of 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.
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.
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.