CQC We and I Statements

Theme 1 – Working with People: Assessing needs

We statement

We maximise the effectiveness of people’s care and treatment by assessing and reviewing their health, care, wellbeing and communication needs with them.

I statements

I have care and support that is coordinated, and everyone works well together and with me.

I have care and support that enables me to live as I want to, seeing me as a unique person with skills, strengths and goals.

 

1. Central Bedfordshire Council Adult Social Care Services

The Adult Social Care Service is responsible for ensuring that those who are most vulnerable receive the right level of support they require to meet their needs and that they are safeguarded. Support is provided to people predominantly aged 18 and over to enable them to maintain their independence and dignity.

Adult Social Care is a demand-led service with key statutory duties of care and support and is responsible for assessing people’s need for ‘community care’ or ‘social care’ services. The service can arrange or provide services and financial support to meet certain needs following an assessment.

Diagram of the Community Assessment Services in Adult Social Care, Central Bedfordshire Council.

Adult social care is a broad term which includes preventive services, assessment and care management, residential and community based support, personal budgets and direct payments to people who use services, safeguarding, and the provision of equipment.

The people who we support may include older people, adults with learning disabilities, or mental health issues, and with physical or sensory impairments.

There are three areas within Central Bedfordshire Council Adult Social Care:

  • Safeguarding and Deprivations of Liberties (DoLs);
  • Community Assessment;
  • Care and Support.

This chapters explains the role of the Community Assessment Service.

2. The Community Assessment Service

The Community Assessment service supports people by offering information and advice, connecting people to their communities, and undertaking assessments and reviews of people with care and support needs.

2.1 Community First Response

This service is the ‘front door’ for all people who find themselves needing information or assistance from adult social care; this could be new enquiries or people who are already receiving support.

Hospital Discharge Service – this team manages hospital discharge as well as post-hospital discharges from community health settings such as a rehabilitation units or intermediate care services that people receive in their own home.

First Response Service provide triage and short-term assessments for people in the community.  This could lead to the provision of short-term support, the provision of information and advice, signposting to relevant services or transfers from the team to longer term support services i.e. adults or older adults’ services.

2.2 Adults Service (aged 64 and under)

The Adults Service supports all vulnerable adults regardless of need, this includes adults who have learning disabilities, autism and physical disabilities.  The people supported have or are likely to have eligible needs under the Care Act 2014.  This includes young people in transition (14-25) as well as adults 18+.

See also Local Offer (Central Bedfordshire Council).

The service offers support to people across Central Bedfordshire and are broadly split into two areas:

Young Adults and Independent Living (YAaIL)

Young Adults and Independent Living (previously known as Preparing for Adulthood Team) is the first branch of the Adult Service. Our practitioners work in partnership with a range of local services and agencies including children’s services, education, health and housing services to provide information, advice and support to help people with disabilities to develop and prepare for life as they become adults as well as enabling adults with disabilities to be as independent as they can be. The service aims to:

  • support people to make a contribution to the communities in which they live;
  • enable people to access universal and natural support;
  • encourage people to achieve their goals and ambitions;
  • support people in achieving a healthy lifestyle;
  • treat people as partners, with dignity and respect;
  • enable and support people to be safe but not restricted;
  • help people to develop networks in their local area.

Our approach aims to challenge preconceptions around the abilities of people with special educational needs and disabilities and recognise that every person is an individual with unique skills, abilities and aspirations.

The YAIL journey is designed around the individual needs, aims and ambitions of each person with special educational needs and or disabilities.

This aims to ensure the right level of care and support is arranged along with securing opportunities for learning and education, training, employment, social and leisure activities, and independent living.

Key elements of the journey are:

  • raising aspirations: every person is encouraged to exceed their own and other people’s expectations of them;
  • inclusion: people are automatically ‘included’ rather than ‘excluded’ by improving awareness of what they can offer to their local community and prospective employers;
  • transparency: people, their parents and carers, and wider agencies take ownership of implementing the journey and work together to meet outcomes;
  • communication: all agencies are involved in supporting people to achieve their goals, relevant information is shared to improve outcomes whilst observing safeguarding protocols;
  • early intervention: young people begin transition at age 14 with the support of relevant agencies to plan access to universal and specialist support, and provide information and advice so that young people and their families can fully engage in the process.

Assessment and Review Team (AaRT)

This area of the team supports people who have a learning disability, physical disability or Autism and are likely to have significant and ongoing need for care and support throughout their lives.

Having a disability can have an impact on people’s lives for a number of reasons, including, performing household tasks, managing money, personal care access to the community as well as opportunities for education and employment.  Our officers will work with the people we support, their families and other professionals to look at their holistic needs and the support required to improve and maintain their well-being.

2.3 The North and South Localities – Older Adults (aged 65 and over)

The Locality teams provide support to Older Adults aged 65+ who require support either due to frailty, the impact of long-term health conditions or dementia. Teams are split into Assessment and Review functions so equal importance is placed on active and annual review requirements (see Assessment and Care and Support Planning chapters).

2.4 The Emergency Duty Team (EDT)

EDT provides an emergency social work service out of hours; the service is hosted by Central Bedfordshire Council (CBC) and provides a service to Bedford Borough Council (BBC) and Luton Borough Council (LBC).

EDT respond to all emergency social care situations that arise out of hours and which cannot be left until the next working day.  EDT will act to ensure the immediate protection and safeguarding of children, young people, and adults who are at risk of harm.

See also: Central Bedfordshire Council AMHP and EDT Protocol

2.5 Occupational Therapy

Occupational Therapy provides assessments and support for all age adults to support independence and safety and enable people to remain at home. Including consideration of equipment, minor works, or assistance to facilitate major adaptations.

See also Occupational Therapy chapter.

3. Further Reading

3.1 Relevant chapters

Case Management 

Eligibility 

Assessment

Care and Support Planning

Charging and Financial Assessment

Independent Advocacy (Mental Capacity)

Mental Capacity

Adult Safeguarding

Care and Support Service 

Hospital Discharge Service

Occupational Therapy

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