Slides in this set
This section looks at the rights of older
service users and how they are defined and
protected in law.
· In the field of health and social care, care
workers and social workers need to be
familiar with these laws.…read more
NHS AND COMMUNITY CARE ACT
· The NHS and Community CARE Act
(NHSCCA) 1990 signified a major change to
how local authorities should work with
· The Act took away money previously given
to the Department of Social Security and the
NHS and gave it instead to local authorities.
· Long-term care in hospitals for older people
was stopped and the aim of the NHSCCA
was to enable people to stay at home for as
long as possible.
· Admission to residential or nursing care was
seen as the last resort under the Act.…read more
Prior to this, people did not receive an
assessment of need before going into long-term
· This Act states that any adult who appears to be
in need of services from the Local Authority
(social services) is entitled to a needs assessment.
· Where services of the health or housing
authorities may be needed, the local authority
should notify those authorities and invite their
assistance (section 47 of the Act)
· Once the needs assessment of the carried out,
the Local Authority then decides whether
services should be provided.
· Community Health Teams work to set of
criteria, which means that they give priority to
people who have serious and persistent mental
and other health problems.…read more
THE PROCESS BY WHICH ASSESSMENTS ARE
CARRIED OUT WERE CLEARLY SET OUT.
· Step 1 PUBLISH INFORMATION: Local
authorities have legal requirements to publish
information about services.
· Step2 ASSESS THE LEVEL OF NEED: The
person's needs may be simple or complicated.
The type of assessment offered will vary
according to the apparent level of difficulty the
person is facing.
· Step 3 ASSESSING NEED: The local authority is
required to assess need and also to make a
decision about providing services to meet those
needs. In all cases a carer's assessment should be
offered. A care manager carries out the
Step 4 CARE PLANNING: A care plan
should be drawn up to identify the aims and
objectives of the assessment. The plan
should record the needs and risks to
independence together with what services
are going to be provided. A record of any
unmet need should also be recorded as well
as any areas of disagreement. Emergency
plans should also be recorded, the care plan
signed and given to the assessed person.
· Step 5 IMPLEMENTING THE CARE
PLAN: This will involve following each local
authority, agreeing to the cost and
purchasing the services on the care plan.…read more