The role of social work in personalised adult social

The role of social work in personalised adult social care and support Social Work and Personalisation: Skills for Care

Wednesday 25th June 2014 Lyn Romeo Chief Social Worker for Adults 1

Changing landscape in adult social care National drivers - policy and legislation: •Care Act 2014 •Mental Capacity Act, DOLS, Mental Health Act, Code of Practice •Social Work reform – education, AYSE, CPD Service delivery – local authority commissioning: •Social Enterprises / Community Interest Companies (CICs) •Integrated health and social care providers (Better Care Fund) •NHS Mental Health Trusts Standards and regulation: •New approach to monitoring and regulation (CQC) •Refreshed employer standards for social workers •Standardised appeals system 2

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

The Care Act is built around people - it: • Ensures that people’s well-being and the outcomes which matter to them, will be at the heart of every decision that is made; • Puts carers on the same footing as those they care for; • Creates a new focus on preventing and delaying needs for care and support, rather than only intervening at crisis point; • Puts personal budgets on a legislative footing for the first time, which people will be able to receive as direct payments if they wish. 3

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Regulations and Guidance • Major programme of work across government to produce the Regulations and Statutory Guidance.

• Produced in partnership with a wide range of stakeholders–in much the same collaborative approach used to produce the Act. • Published for formal public consultation until 15th August. • Final publication of Regulations and Guidance in October 2014 4

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Repositioning of social work in adult social care Promote social workers as the lead professional responsible for personalised, integrated care and support - especially: • Prevention – promoting independence and resilience • Information and advice for those with more complex needs • Assessment or review of an individual or carer with complex social care needs • Supervising safeguarding enquiries • Transition from children’s to adult services -------------------------------------------------------------------------------------Social workers have the qualifications, knowledge and skills to work: • with complexity, risk and conflict • therapeutically and in the community • with capacity • to shape the social care market 5

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Preventing, reducing and delaying needs • Whole-person approach to prevention, including consideration of person’s strengths, informal and community networks, as well as needs and risks • Recognition of the value of community, voluntary and other resources in the local area • Work in partnership with other professionals to maximise independence, wellbeing and resilience, balancing needs of the individual and that of family and friends contributing to their care 6

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Information and Advice • Duty on Local Authorities to provide clear, accessible information and advice on care and support in the local area • Provides clarity on role of social workers to identify people with more complex needs early on and in helping to access appropriate support

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The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Assessment, review and care planning • Sets out clear role for social workers and OTs to carry out assessments. • Unique role of social workers in complex assessments which require co-ordination across statutory and community services. • Provide support to assessors where the individual may lack capacity. • Support people to develop their care plans and enable them to engage confidently in the process. • Develop expertise in knowing where additional community resources can contribute to the plan, e.g. building wellbeing and emotional connections. 8

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Adult Safeguarding • Expectation that social workers will be required to supervise safeguarding enquiries, including more complex cases, e.g. suspected abuse or neglect within the family. • Lead worker (with OT or appropriately qualified social care professional), in cases where DOL safeguards may be needed. 9

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Transition to adults’ services • Social workers as most appropriate professionals to carry out transition assessments for young people with complex needs, who are transitioning to adult services. • Assessments must be carried out early enough to ensure the right care and support is in place on moving to adult services. 10

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

And return to core social work skills and interventions Renewed focus on: • Maximising independence and choice – working alongside individuals and their families • Strong legal literacy - Mental Capacity, Domestic Abuse, Human Rights, Environmental Health, Police and Criminal Evidence Act • Positive risk-taking - good assessment and management of risk Away from: • Procedure and process-driven approaches to assessment, care planning and case management With common values, ethics and models of interventions across adult and children’s services 11

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014

Implications for social work practice Social work must deepen knowledge and skills if it is to respond to the transformation of health and social care - especially: • Demographic changes – aging population, dementia, long-term conditions, end of life, palliative care; • Mental health – social work in integrated settings; • Changing expectations of care and support – user of services as equal partner, strengths-based approaches. Will require: • Access to quality assured Continuous Professional Development • High level of organisational leadership and commitment to social work and excellent practice • Workforce planning to deploy social workers to best effect 12

The role of social work in personalised adult social care and suport - Skills for Care, 25 June 2014