In an ideal world this may be possible, but when care is not practicable at home, a care home is an alternative or independent living within a monitored housing scheme. Many persons would prefer to be cared for in their own home, but when they need care, where will it come from. Family members do this for as long as they can. When they can not do this for the length of time required, carers could be employed to maintain care in the home, either Personal Assistants employed by the person with a disability or care assistants from a Care Agency. or care assistants within a care home or within the independent living arrangement. In a care home the care should be available 24/7 and most likely the independent arrangement, but this is not possible within a persons own home. for one there has to be the availability of carers to attend for the length of time required, let alone the funds to pay for the carers.
Currently, due to Government cuts to local authority spending, this care in the home, is also being cut by the Local Authorities. This is leaving the supposedly cared for to be put at risk, due to the lack of carers attending and the time available on the funding provided.
When Care in the Community was introduced, many years ago, it was not fully funded and now that funding is being cut at a time when the requirement for care is increasing.
Get the funding right and then care can be a person’s choice.
Is this now to be rectified?
The Care Act 2014 in this the Care and Support Minister Norman Lamb talks about the biggest reforms to the social care system in more than 60 years. The Care Bill has now progressed through both Houses of Parliament and is now The Care Act 2014, if you wish some light reading, or not, you could view The Care Act 2014 by Link*. This is not the official printed copy, to obtain such copy, this will be available from http://www.tsoshop.co.uk/ for this there would appear to be, currently, a charge of £23.25.
The Care Act is for adults who may be vulnerable and carers of these adults and brings together all the various pieces of legislation relating to adult care. In doing so it also brings responsibility on Local Authorities to ensure the right care is available, but if the funding is not there how can this be achieved?
This is the question all Local Authorities are currently asking themselves. Many persons would still wish to be cared for within their own home either by family members, Personal Assistants or care assistants. But individualised care can be expensive, so some are deciding to use the independent living arrangement or care homes. In these a number of carers can be used to care for a number of persons, so the costs are equalised between the persons requiring care, thus having a lower cost ratio of care, to cared for.
But in some instances this will not be abiding by the principles of The Care Act 2014. The Act stipulates that both the cared for and the family carers should each have an assessment of need, where the needs and choices of each should be stated and the care to be provided should be tailored arround these assessments and the support plan resulting from the assessments. There is a requirement that all Local Authorities should be using the same criteria and not a criteria created by each Local Authority and so the support plan will be centred on the individual requiring care. This still requires that sufficient funding is available and within the Act there is the assumption that the budgets of Health and Social Care will be brought together. But will this be sufficient, well time will tell.
Then we come back to the views of Simon Stevens and for this to occur even more funding will be required. Is any of this feasible, well should we wait and see?