Abuse
adult social care
Violation of an individual's human or civil
rights by any other person or persons. Any
or all types of
abuse may be perpetrated as
the result of deliberate intent, negligence or
ignorance. Different types of abuse include:
physical; neglect/acts of omission; financial/
material; psychological; sexual; institutional;
discriminatory; self harm/abuse; racial; or any
combination of these or other factors. Abuse
also has a number of specific
legal definitions
contained in various acts of
Tasks that people carry out to look after their
home, themselves, and their participation in
work, social and leisure activities.
The
Association of Directors of Social Services Cymru is a constituted group of statutory directors and senior social services managers who work in local government in Wales and who have come together to promote the social wellbeing of the vulnerable citizens in Wales irrespective of their circumstances.
Advocacy
adult social care
Some people are able to
self-advocate and
speak up for themselves without assistance to
insure that their needs and wishes are clearly
expressed and acted upon. Others need
assistance. Advocates and
advocacy services
exist to give independent help to enable
people to take control of their lives, explore
and express their own needs and access the
services and support they need to meet their
needs.
The needs of an individual that have been
identified as a result of an
assessment.
In
social care teminology, the process whereby the needs of an
individual are identified alongside their
impact on independence, daily functioning
and quality of life so that appropriate care,
health or other services can be planned. It
aims to identify and explore the many issues
connected with a person's needs and should
include all relevant viewpoints. It should be
self-contained and time-limited, culminating
in the clear identification of needs and the
objectives for how these needs will be met.
A scheme whereby an individual is given support in the form of friendship, sometimes helping with shopping or simply being someone to talk to and to ensure the individual is happy and safe.
An
Individual Budget is money given to people for them to buy in the services or equipment they need to meet their assessed care needs. Individual budgets differ fromp ersonal budgets in that they pool funding resources from a variety of places, making the system easier to navigate. An Individual Budget can include a
Personal Budget from a local authority as well as money from other
sources, such as the Independent Living Fund (ILF) or Supporting People funding.
When a local authority looks after a person's
Personal Budget, it is called a
Managed Budget. The person still knows how much it amounts to and what it is being spent on, but they don't receive any actual monies.
A
Personal Budget is money which is allocated to someone by a local authority to
pay for their assessed support or care needs. Personal Budgets are similar to
Individual Budgets, but they are made up solely of local authority
social care funding. Personal Budgets do not draw in any payments from other organisations outside of the local authority, so people would have to contact
these organisations separately to receive
additional support (for example, personal budgets do not include Supporting People Funding, which would need to be applied for separately). People can take their Personal Budget as a direct payment (choosing themselves how their care needs are met
and by whom), leave councils with the responsibility to commission the services, or
elect to have some combination of the two.
CIW registers, inspects and takes action to improve the quality and safety of services for the well-being of the people of Wales. They carry out functions on behalf of Welsh Ministers; decide who can provide services; inspect and drive improvement of regulated services and local authority social services; undertake thematic
reviews of
social care services; take action to ensure services meet legislative and regulatory requirements; and investigate concerns raised about regulated services.
Carer
adult social care
Someone, usually unpaid, and often a friend or family member who supports a person with
social care needs either full time or part time.
Services helping people live full and independent lives. They are intended to help people overcome particular difficulties, and to assist people to live in their own home/local area, for as long as possible.
Services such as district nursing, which are provided by NHS staff working in the community.
Community nurses are registered nurses who work in the community: in people's homes, in schools and in local surgeries and health centres. The people they work with may be ill or
disabled. Community nurses also look after people whose health may be particularly vulnerable, such as
older people,
children, people with mental ill-health or people with learning disabilities. They visit people at
home to provide health care - for example,
changing dressings or giving injections - and
help people get any home nursing aids and
equipment they need. Community nurses can provide help and
advice on a wide range of health issues. The term includes practice nurses,
district nurses, community
mental health nurses, health
visitors and school nurses.
The
Criminal Records Bureau (CRB) is an executive agency of the Home Office, which provides wider access to criminal record information. This service enables organisations in the public, private and
voluntary sectors to make safer recruitment decisions by identifying candidates who may be unsuitable for certain jobs, especially
where that job involves contact with
children or
vulnerable adults. The CRB was established under Part V of the Police Act 1997 and was launched in March 2002.
Daily Living Skills are needed to perform
activities of daily living. Activities of Daily Living is a term used in healthcare to refer to people's daily self-care activities. Health professionals often use a person's ability or inability to perform ADLs as a measurement of their functional status.
Rehabilitation Officers restore a blind or partially sighted person's Daily Living Skills.
Day Care
adult social care
Provided within centres to which
service users
travel or are transported.
Service providers vary from
statutory agencies such as health or social services to the independent and
voluntary sector.
Day care may cater for users with high dependency needs in conjunction with home care and residential provision, and be integral to an intermediate care programme. Alternatively, day care, particularly within the voluntary sector, may offer social stimulation and be part of a
preventative programme aimed at combating a move towards functional dependence and offering
carer relief on a structured basis.
Direct Payments are means-tested payments made to
service users in lieu of
community care services they have been assessed as needing, and are intended to give users greater choice in their care. The money received should be enough to meet a person's assessed care needs. Direct Payments have been available since 1997 and are made to a wide variety of people, including
carers, adult service users and people with short-term needs. Direct Payments are not the only way a person can
have control over their care service funding.
Someone else can hold the money for them
- a family member or other representative, a
trust, an organisation, or a Care Manager. See also
Budgets - Personal,
Budget - Managed,
Budget - Individual and
Indirect Payments.
The
Disability Discrimination Acts (1995 and
2005) define a disabled person as 'someone who has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities'. Groups of people with disabilities include people with
mental health issues, physical limitations and those with learning disabilities. The
social model of disability starts from a different perspective. It is not concerned with how 'bad' a person's impairment is. Instead
it establishes that everyone is equal and
demonstrates that it is society which restricts
their opportunities and erects barriers that
prevent disabled people from participating
fully.
District Nurses are senior nurses who manage
care within the community, leading teams
of
community nurses and support workers.
Typically much of their work involves visiting 'house-bound' patients to provide
advice and care, for example, palliative care, wound management, catheter and continence care, medication support. They may be trained to assess patient's needs for
equipment provision such as mobility and independent living aids,
medical equipment
such as specialist beds and mattresses, as well as guidance in applying for
grants and welfare benefits. Their work involves both follow-up care for recently discharged hospital inpatients and longer term care for
chronically ill patients who may be referred
by many other services, as well as working
collaboratively with general practitioners in
preventing unnecessary or avoidable hospital
admissions.
Service/Services provided for people in their own homes. They include home care and the services of health workers (e.g. physiotherapists who treat people in their own home).
Holistic
adult social care
This means taking all the elements of a person's life into account - including physical, emotional, mental and spiritual elements.
Includes both private and voluntary social
care providers, who may be contracted to provide services on behalf of
statutory agencies.
Indirect Payments are similar to
Direct Payments, but instead of being paid to the individual who needs the service, payments are made to a nominated individual or into a trust. The trustees or nominated people then
pay for services on the individual's behalf.
An
Individual Service Fund is an individual
budget that a
service provider manages on
behalf of a
service user. Payments are made
with the understanding that the service
provider can deliver what is needed and it
meets the criteria set out in the service user's
support
plan.
This is consent to treatment or care where a person has been given enough objective, evidence-based information to be able to make their own decision, and the person has the mental capacity to make that decision.
Organisations within or across sectors (e.g.
health and
social care) agree objectives and meeting regularly to develop and implement them.
A person responsible for working closely with
people who use services to ensure the coordination
of their
plan">care plan and act as the main contact for everyone involved.
Professionals whose specialist
training equips
them to work with people with a physical
disability, learning disability/difficulty or
mental health needs. They help people learn
new skills or recover lost skills, and may
arrange for special equipment or adaptations
to accommodation.
Usually defined as people aged 65 and over (although definitions vary)
A specific service to operate outside regular office hours to provide either a direct service where necessary, or offer
advice, guidance or re-routing to more appropriate services.
Outcomes
adult social care
In
social care, the term '
outcome' is often used to refer to the positive results of the social care a person has received. They represent changes or improvements that have taken place during the time someone has been receiving support.
A
Personal Assistant is a person employed to help someone with their daily
social care in a way that is right for them. Using their
Personal Budgets, a person can employ a Personal Assistant to provide support like: cooking, cleaning, help with personal care like washing and using the toilet, driving or help with getting around,
medical tasks, shopping, banking or paying bills.
Personal Care Services for vulnerable persons,
including those with special needs because of old age or physical
disability or mental disability, and
children in need of care and protection.
Is the all-encompassing term for the Government's agenda to give people more choice about and control in the care they receive. The system places the
service user at the centre of the process and allows them to choose the support they use and the manner in which they receive support.
The part of the NHS where GP's,
community nurses and other clinicians work to provide a first point of contact for patients. Community pharmacists, dentists and
opticians are also part of
Primary Care.
PCTs are a very important part of the NHS, and they get about 80% of the total NHS budget. PCTs decide what health services a local community needs, and they are responsible for providing them. They must ensure that there are enough services for people within their local area, and that the services are accessible. These services include: GPs, Dentists, Pharmacists,
Opticians, NHS Direct, and NHS walk-in centres. PCTs make decisions about the type of services that hospitals provide and are responsible for making sure that the quality of service is high enough. They also control funding for hospitals.
Medical professionals who provide services from GP surgeries including GP's, practice nurses and community staff.
Most people would prefer to look after themselves as much as possible and to remain in their own home. Recent guidance has challenged
statutory agencies to promote such independence by ensuring that people have access to the information and services that they need. It also places increased emphasis on
rehabilitation and the associated
therapy services.
An independent or statutory organisation that may provide a whole range of care services for those in need.
A specific service designed to respond rapidly to prevent hospital admission or to facilitate early discharge.
Reablement is about helping people learn or relearn the skills they need for
daily living - which they may have lost through the deterioration of their health and/or increased support needs - to help them gain more independence.
May take the form of either a nursing, or a residential care home, that provides 24 hr care to individuals who, on
assessment, have been assessed as no longer being able to be supported at home.
Residential accommodation can be either long or short stay.
A service giving
carers a break from their caring responsibilities by providing short term care to the cared-for-person in their own home or in a residential setting.
Review
adult social care
This can refer to re-
assessment of
service user's needs and issues, and consideration of the extent to which services are to meet the stated objectives, achieve the desired
outcomes and respond to changes in circumstances or service criteria.
Review may also refer to an organisational review.
The
assessment of a person's health, their safety, well being and their ability to manage essential daily routines and the impact this has on the individual, their
carers and staff.
The process of responding to concerns that a vulnerable person (or people) are being, or are at risk of being abused, neglected or exploited. This will result in an investigation into the alleged behaviour, and often a protection
plan to prevent it recurring. Although the local authority takes the
lead on adult
safeguarding, the responsibility for safeguarding adults lies with every agency.
Some people are able to
self-advocate: this means speak up for themselves without assistance to ensure that their needs and wishes are clearly expressed and acted upon. Others need assistance. Advocates and
advocacy services exist to give independent help to enable people to take control of their lives, explore and express their own needs and access the services and support they
need to meet their needs.
When an individual has sufficient funds and is able to make arrangements for and
pay privately for their care services.
Is the term used for when people choose their services, organise their care and arrange for payments to be made. This is because the individual who requires the service is directing
their own care and has choice when it comes to their support.
Organisations of all shapes and sizes which run activities designed to help other people in some way.
These are people who receive health and
social care services. They may be individuals who live in their own homes, are staying in care or are being cared for in hospital. Some groups note an inferred power relationship from this term and prefer to be referred to as People Who Use Services (PWUS).
Any form of support or help given to someone to assist them in taking their place in society.
The
Social Care Register is a register of people who work in social care, and have been assessed as trained and fit to be in the workforce. The register is maintained and policed by the General Social Care Council (GSCC).
Social workers and social work students are currently the only groups
joining the register. Over time, social care
workers of all levels will be registered -from care workers through to directors of social services. Registration will ensure that those working in social care meet rigorous registration requirements and will hold them to account for their conduct by codes of practice. Qualifications, health and good character are checked as part of the registration process. Registered social workers are also required to complete post-registration
training and learning activities before renewing their registration every three years.
Strategies which seek to ensure participation by targeting communities marginalised by lack of economic opportunity, educational achievement or other barriers.
Social workers help protect
vulnerable adults and
children from
abuse and help people to live more successfully within their local communities by helping them find solutions to their problems. To succeed, social workers must work not only with people who use services, but with their families,
neighbours and friends as well as with other
organisations such as the police, the NHS and schools. The title 'social worker' has been protected by law in England since 1 April 2005 and all social workers are required to maintain registration on the
Social Care Register administered and policed by the General Social Care Council (GSCC).
People or organisations which have an interest in a proposed development or idea.
Official organisations set up according to written laws of central government.
A Support
Plan says how people will spend their budget to get the life they want. People who use services can get help to make a plan - perhaps from family or friends, or pay someone who specialises in planning. A person's local authority must agree the plan before they get their support money.
Individuals will be able to have as much say in their Support
Plan as they are able. Some may be able to complete this entirely by themselves, or with help from others, and some people may want
social care staff to support them to complete it.
Defined by Cabinet Office as 'voluntary and community groups, social enterprises, charities, cooperatives and mutuals' (see also
Voluntary Sector).
A
voluntary organisation is one whose main focus is to deliver social benefit in a variety of forms, rather than to generate profit for distribution to its members. It will usually be
governed by volunteers and be independent of government.
This includes various
voluntary agencies ranging from large organisations with paid staff to small groups run by volunteers.
Defined in 'No Secrets' (DH 2000) as: 'a person aged 18 years or over, who is in receipt of, or may be in need of
community care services by reason of mental or other
disability, age or illness and who is or may be unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation'.
A young
carer is anyone under the age of 18 whose life is in some way restricted because of the need to take responsibility for the care of a person who is ill, has a
disability, is experiencing mental distress or is affected by substance
abuse (Carers UK Definition).
The term is used to describe people in the age and groups roughly spanning puberty to young adulthood (aged 10-24).
