Adult Social Care
Practice Guide
Risk management plan A risk management plan should focus on managing the identified risks and where appropriate put in place safeguarding measures, which include but are not limited to: w hat immediate action must be taken w ho else needs to contribute and support decisions and actions w hat the…
Fluctuating need refers to needs which may not be apparent at the time of the assessment; but may have been an issue in the past and are likely to arise again in the future. When practitioners assess a person’s needs, those presenting at initial contact may not be a true reflection of their condi…
Mrs B suffers from multiple sclerosis and over a one month period can experience issues with vision, balance, pains and spasms however these symptoms are not always continuous and she has good and bad days. Therefore to support Mrs B instead of providing additional regular hours to as part of a c…
What Matters to people Guidance and best practice on care reviews “A review should be proportionate to the circumstances of the adult”. Reviews should focus on the personal outcomes of the adult, the support plan, use of the personal budget and should ensure that the service provision continues to…
Purpose of a review The purpose of a care review is to formally re-evaluate the adults assessed needs, identified risks and support plan. A review will establish whether the support plan is meeting the adult’s needs and personal outcomes, if there are any unmet needs or outcomes and whether the c…
Arranging a review A review should be completed by appropriately qualified staff within 12 weeks of the commencement of any new service or support or 4-6 weeks where possible. Following this the review should take place annually or sooner if required. Reviews can be requested at any time by the a…
Identifying changes Reviews should not be used as a tool or resource to amend personal budgets to save funds. However the information collected in the review will determine whether the eligibility criteria should be reapplied and updated on mosaic. Any changes identified that would have an impac…
Action to take with identified changes Where a change in need is identified as a result of a review the allocated social worker or social care practitioner should: c omplete a reassessment that is proportionate to the change c learly document the reasons for any increases or decrease in levels of…
Reviews and risk management The results of the review may identify potential or imminent risks to the adult or others, therefore any risks identified must be addressed by the allocated social worker. Proportionate and effective risk planning with the adult and relevant agencies should be complete…
Quality of provisions The quality of commissioned service provision or support should also be evaluated during the review. If provider concerns are identified as part of the review the allocated social worker or social care practitioner should document: t he nature of the concern e vidence to sup…
What Matters to people Information about the What Matters conversations What Matters is proudly Camden’s approach to delivering Adult Social Care (ASC) support since 2019. It is our attempt at placing people at the heart of everything that we do, and it recognises that people are the experts in th…
Capacity considerations Adult social care officers have a responsibility to make arrangements for an independent advocate if they feel that the individual has difficulties: u nderstanding relevant information r etaining information u sing or weighing that information as part of the process of bei…
Personal budgets, sign off and assurance Individuals must be made aware of their indicative budget, how it was calculated, what may be available to meet their eligible needs, the total amount that the council will pay and what amount (if any) the person will pay towards their care and support. In…
Conversation 1
Conversation 2 For more information on assistive technology visit the Assistive Technology page.
Conversation 3 For more information on assistive technology visit the Assistive Technology page.
Digital Care Plan Some care providers are changing from hand written notes to digital care plans . This new system will make sure residents are aware of the care they need and make access to notes easier with a quicker process. Residents can download an application on their phone or other device…
Determining Eligibility In Camden, we do not make any attempt at formally determining Care Act 2014 eligibility till the Conversation 3 stage. This is a fundamental principle of the 3 Conversations approach. Our approach is designed to be Care Act compliant, ensuring that we meet our statutory du…
Supported Self Assessments – Practice guidance Why do we offer supported self assessments? Under the Care Act, a local authority should offer an individual the opportunity to undertake a supported self-assessment which places the individual fully in control of the assessment. While very few peopl…
What Matters: Our Approach in Camden What Matters to people
What Matters to people If you have an idea for a story, please contact the Prevention and Wellbeing Team Project Officers on [email protected] . Here you can find case studies and stories which demonstrate best practice in Adult Social Care.
Shared Lives Shared Lives schemes support adults with learning disabilities, mental health challanges, or other needs that make it harder for them to live on their own. The schemes match someone who needs care with an approved carer. The carer shares their family and community life, and gives car…
Michaela's Family Group Conferencing story “ My life has just changed. So I used to be really in control of my life. I was doing things like I was running. I was very much the lead of my family and the carer. Now I’ve become the one that’s cared for.” Michaela was used to living an independent li…
Camden Learning Disability Group take part in June’s London Open Garden’s Weekend The London Open Garden’s Weekend is an annual event held at the start of June. Hosted by the London Parks and Gardens Trust , it showcases gardens around London, opening them to the public. The garden at the Greenw…
Rebecca talks about her time as an OT in Camden Learning Disability Service As part of our blog series for Occupational Therapist Week, Rebecca from CLDS has shared her reflections on the role of OT’s in CLDS, and how they can improve the lives of the people they support. “I have been an OT work…
Unity Works trainees providing food parcels for Camden residents Trainees at Unity Works’ kitchen at the Greenwood Centre will support communities around Camden following a new batch of funding from Camden Giving . Unity Works supports people with a learning disability with employment skills and…
New members at the Camden Disability Job Hub The Camden Disability Job hub has welcomed two new members to the team. Camden welcomes Sarah, Learning Disability Job Hub Advisor, and Leigh, Learning Disability Work Ready Coach. Reports show that just 5.1% of people with a learning disability known…
Camden OT's Oversee the Installation of Wash/Dry Toilets in Camden Day Centres This week is Occupational Therapy week, an annual event created by the Royal College of Occupational Therapists to celebrate the important work in the sector. As part of this week, we’re sharing some great news from wi…
Paul's story People with a learning disability are supported in a number of different ways by different internal services within the Council. Some are supported directly by the council, whilst others are supported by an external provider, with an oversight from the Council. Paul had been supporte…
Unpaid Carer supported by Camden Carer’s Mental Health team at time of need Across the UK, unpaid carers support their loved ones every single day. The ONS estimated that 5 million residents in England and Wales provided unpaid care in 2021. This number is likely to be much higher though, as many…
What Matters to people Overview of the What Matters approach What Matters is proudly Camden’s approach to delivering Adult Social Care (ASC) support since 2019. It is our attempt at placing people at the heart of everything that we do, and it recognises that people are the experts in their own liv…
Positive risk taking Positive risk taking is an aspect of a strengths based approach that encourages people to identify their desired outcomes and to work to achieve these outcomes by utilising their own strengths and assets. It gives the adult the opportunity to explore ways to do things they m…
What Matters Overview What Matters focuses on building a culture of strengths-based practice: Using 3 Conversations framework to build relationships and focus on what matters Using coaching style conversations to identify strengths and opportunities, and to building confidence Using peer support…
Continuity Of Care There is guidance that can be found regarding the Care Act which relates to when a person (and possibly also their carer) moves out of Camden to a new borough. It also includes what information needs to be shared to ensure that their care continues uninterrupted, please follow…
What Matters to people Advocacy services that are provided by the commissioned service, CIIAS, delivered by Rethink Advocacy, Details about eligibility and how to refer into the services. The Camden and Islington Integrated Advocacy Service (CIIAS) is delivered by Rethink Advocacy. CIIAS provides…
What is Advocacy? What is Advocacy? “Advocacy is taking action to help people say what they want, secure their rights, represent their interests and obtain services they need. Advocates and advocacy schemes work in partnership with the people they support and take their side. Advocacy promotes so…
Eligibility General eligibility criteria To be eligible for support from the CIIAS, the person must be ‘ ordinarily residing in Camden ’ (i.e., living in Camden, or placed by a Camden social work team in specialist accommodation outside of Camden) The person must be over 18 years old. For IMCA an…
Referral process General Procedure for Referrals To discuss a potential referral, CIIAS can be contacted on 0300 790 0559 . To make a referral, complete the Rethink referral form . The form can also be accessed directly via the Advocacy London Hub website . All referrals should be sent securely t…
Independent Mental Capacity Advocacy (IMCA) Independent Mental Capacity Advocacy (IMCA) The role of the IMCA is to help people gain a voice and ensure their rights are protected in decisions made about them and to ensure the requirements of the Mental Capacity act 2005 is being followed. IMCA Eli…
Independent Mental Health Advocacy (IMHA) Independent Mental Health Advocacy (IMHA) The role of the IMHA is to provide a statutory safeguard to qualifying patients to help them to understand and exercise their rights with regard to their care and treatment under the Mental Health Act (1983). IMHA…
IMCA: Out of Borough Referrals IMCA: Out of Borough Referrals IMCA referrals do not follow the general eligibility criteria for people residing in Camden. The Mental Capacity Act Code of Practice states that the IMCA service to be instructed is the one which ‘works wherever the person is at the t…
Deprivation of Liberty Safeguards (DoLS) Advocacy Deprivation of Liberty Safeguards (DoLS) Advocacy Deprivation of Liberty Safeguard (DoLS) The Deprivation of Liberty Safeguards introduced further roles for IMCAs. DoLS 39A IMCAs only deal with issues relating to deprivation of liberty application…
Paid Relevant Person’s Representative (PRPR) Paid Relevant Person’s Representative (PRPR) The role of the PRPR is to maintain contact with the relevant person and represent them in all matters relating to the Deprivation of Liberty (DoLS). DoLS RPRs are appointed where DoLS authorisation has been…
Court of Protection 1.2 Representative (CoP) Court of Protection 1.2 Representative (CoP) The role of the 1.2 Representative is to consider from the client’s perspective and in their best interests whether they agree or do not agree that the Court should authorise the package of care and support.…
Independent Care and Support Advocacy (ICSA) Independent Care and Support Advocacy (ICSA) The Care Act 2014 introduced Independent Care and Support Advocacy (ICSA) to ensure that people who face significant challenges in engaging with Local Authority processes have the support they need to partic…
Independent Health Complaints Advocacy (IHCA) Independent Health Complaints Advocacy (IHCA) The Health and Social Care Act 2012 transferred the responsibility of commissioning Health Complaints Advocacy services from Central Government to Local Government. At its heart, IHCAs empower and support…
Non-statutory Advocacy Non-statutory Advocacy Access to non-statutory advocacy will be prioritised to those people with a substantial difficultly which prevents them from self-advocating in key processes in their life where they may be left without the support to have their voice heard and to sec…
Equality Matters Further information on how to report incidents including racism and/or other forms of discrimination can be found on Essentials . In this section of the practice guide, you will find information regarding Camden Council and Adult Social Care’s zero-tolerance approach to racism, in…
What is racism? Racism is a deep-seated issue in society, maintained by discrimination and prejudice. Racist discrimination can range from unintentional misunderstandings and lack of awareness through deliberate and/or malicious acts. Different types of race discrimination The Equality Act 2010 s…
Camden's approach to Zero Tolerance Soon after the murder of George Floyd in the US, front line staff in Adult Social Care told us that they wanted to do more to protect staff from racial and prejudicial behaviour in the workplace. In response to this, the Senior Management Team in Adult Social C…