The Care Act 2014 Overview

1. The Care Act 2014Overview Heather Begg Adult Social Care Redesign Team

2. Care Act 2014 Consolidates and Replaces: • Aims to: • Be Clearer and Fairer • Promote Wellbeing • Prevent/delay needs for support • Put people in control

3. Principle of Wellbeing • Assessment, including Carers • National Eligibility Criteria • Care and Support Planning and Review • Deferred Payments • Funding Reforms

4. Work, education, training and recreation Social and economic wellbeing • Strengths-based approach: • The most robust sense of wellbeing is the one coming from within the individual; • The more fragile sense of wellbeing is that coming from outside the individual and from sources distant from the individual Personal dignity Suitability of living arrangements Nine Areas Of Wellbeing Physical, mental and emotional health Individual contribution to society Protection from abuse and neglect Personal control Domestic, family and personal relationships

5. Wellbeing Principle Important to start with the assumption that the individual is best placed to judge their own wellbeing. Affects how care/support is expected to be delivered in a very positive way

6. New Areas most affecting providers: • Commissioning high quality, outcomes-based services that focus on wellbeing • Market Position Statement-encourage dialogue and understanding between private providers, third sector and voluntary and community based organisations • Market sustainability Market Shaping Managing Provider Failure and Service Interruptions Market Oversight • LAs have a duty to ensure customers needs are met where any business has failed CQC’s new function to oversee the financial sustainability of providers that would be difficult to replace were they to fail.

7. New Areas most affecting providers: • Statutory Safeguarding • Information, Advice and Guidance • New statutory framework for protecting adults from abuse and neglect • 6 Key SG Principles: Empowerment, prevention, proportionality, protection, partnership and accountability • Providers to always report to borough as LA make decision on whether safeguarding or not(where person has care and support needs) • Multi-agency Safeguarding Adults Board • LA has a duty to provide information and advice to whole population and tailored to people following needs/carers assessment • Establish and maintain an information and advice service, in accessible ways and tailored to the needs of the individual/local people in Merton. • Providers to ensure LA has information about service, including costs

8. New Areas most affecting providers: Duty of Candour: • Requires all health and social care providers registered with CQC to be open when things go wrong • Legal requirement requires providers to offer an apology and state what further action the provider intends to take • For further guidance: http://www.cqc.org.uk/sites/default/files/20150327_duty_of_candour_guidance_final.pdf

9. New Areas most affecting providers: New Opportunities:

10. Any Questions ? Heather.Begg@merton.gov.uk 0208 545 4515