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Autumn survey report 2022
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 21
- Place of publication:
- London
This report summarises data from an ADASS membership survey carried out from 13 October to 4 November 2022. It gathered information on a range of issues including financial and market sustainability, homecare hours, the number of people waiting for assessments, care and support or a direct payment to begin, or for a review of their care plan, workforce sufficiency and the impact of the cost of living. 116 councils submitted responses to this survey, a 76% response rate. Key messages include: the impact of the cost-of-living crisis is being disproportionately felt by people who draw on care and support, and those who work in adult social care; rising costs are adding a further layer of pressures for adult social care providers and most councils will struggle to deal with the failure of care providers this winter; there are not sufficient staff to deliver all of the care and support that is needed and not enough is being done to make adult social care an attractive and competitive career choice; the majority of councils that responded are reporting providers handing back contracts, closing or ceasing trading, with huge impacts for a growing number of people; despite growing requests and more people waiting for different aspects of adult social care, Directors are being expected additional savings this year and even more in 2023/24; Directors are ever more pessimistic about the finances of the local and health care system; adult social care is in a significantly worse position going into this winter than last year - the number of people waiting for an assessment of their needs, care and support, a direct payment to begin, or for a review of their care plan has increased by 24% from November 2021 to end of August 2022; the increase in the number of homecare hours that have been delivered has continued - the number of hours delivered between 1 April 2022 and June 2022 (42m hours) represents a 17% increase from a similar period last year when just over 36 million homecare hours were delivered (between 1 May- 31 July 2022). (Edited publisher abstract)
ADASS member survey: changing the way that adult social care is funded, delivered, and experienced
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 12
- Place of publication:
- London
This report, part of the ADASS Member Survey Spring Survey 2022, outlines the results of ADASS members' views on the timing, pace and resourcing of the different aspects of planned and in train changes to social care. The majority of Directors (71%) are not confident that there is sufficient funding to deliver what is currently scheduled, whilst 22% said it was too early to say. No Directors were fully confident. Directors are also not confident that the current timescales for key aspects of reform are deliverable. 57% have no confidence, and no Directors are fully confident that the current timescales are sufficient to deliver what is currently proposed. A majority of Directors (58%) said that the £86,000 cap on what individuals will pay for their care should be delayed by 1 year. 41% of Directors suggest implementation as proposed for Fair Cost of Care arrangements, which would give people who pay for their own care to access the same rates as councils, whilst 40% suggested a delay of a year. Whilst there has been an emphasis on the potential for ICSs to support the transition to more care and support in people's homes and communities, 72% of Directors report that ICS development has had little impact on local investment in adult social care to date and 5% of Directors said that ICSs were reducing investment in adult social care. (Edited publisher abstract)
ADASS survey: adult social care: people waiting for assessments, care or reviews
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 3
- Place of publication:
- London
This document brings together data from ADASS surveys on people waiting for adult social care assessments, care or reviews. Headline findings include: on the 30th April 2022 more than 540,000 people were estimated to be waiting for assessments, care, Direct Payments, or adult social care reviews - 37% (36.9%) increase since November 2021; 294,449 people are awaiting care assessments, which represents a 30% (30.2%) increase in the number of people waiting for assessments compared to 31st March 2022; 1 in 4 (73,792 who had been waiting for assessments, had been waiting more than six months; an extra 11,000 people awaiting care and support or direct payments to begin - an increase of 40% (39.8%) in just one month; the number of people who are waiting more than twelve months for a Care Act review is up 3% (2.9%), having fallen 6% in March 2022. (Edited publisher abstract)
Spring budget survey 2022
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 38
- Place of publication:
- London
Findings from the ADASS Spring Survey (formerly known as the Budget Survey), an annual survey sent to every Director of Adult Social Services in the 152 English councils. There were 144 completed returns to this survey, a 95% response rate. The survey shows that the long-term impact of both austerity and the Covid-19 pandemic on support for people with care needs is now being compounded by spiralling inflation and intense labour market pressures. Directors report increases in care needs, with 87% saying more people are seeking support because of mental health issues, 67% are seeing more people because of domestic abuse and safeguarding concerns. Of equal concern, 73% of directors report rising numbers of cases of breakdown of unpaid carer arrangements. Directors are also receiving more and more requests for support because of pressures elsewhere in health and care: 82% report increased referrals of people discharged from hospital; 74% are recording more referrals and requests for support from the community; 51% are recording more referrals and requests because of the lack of other services in the community. Almost seven in 7 in 10 directors say that care providers in their area have closed, ceased trading or handed back contracts to local councils. Many more cannot deliver the increased care and support needed due to staffing shortfalls. Existing challenges of rising requests for support, increasing complexity of care required, fragile care markets, and underpaid, undervalued and overstretched workforce, risks being compounded by the current cost of living crisis. People who need care and support, unpaid carers and those who work in adult social care are amongst the most exposed. This picture has profound implications for people who need care and support today, those who will need support this winter and the chances of providing adequate type of care and support in the future. (Edited publisher abstract)
Expanding extra-care
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 8
- Place of publication:
- London
This round-table write-up focuses on the factors currently holding back the wider expansion of housing-based models of care, explores how stakeholders can work together to overcome these. In February, ADASS and housing and care provider Mears jointly hosted a round-table, held under Chatham House rules so as to promote open discussion, exploring these issues. The event sought to draw out the expertise of local authorities and their partners to provide the sector with insights, evidence and approaches for understanding the barriers to delivering on the ambitions for housing-based care, and potential solutions via which to surmount them. Key takeaways include: Covid-19's impact on the numbers of people moving into residential care, and on public perceptions of it, offers an opportunity to increase awareness of other models; in many cases, extra-care schemes have delivered positive experiences for residents during the pandemic; coronavirus pressures have accelerated integration between health, housing and social care; housing-based care models would benefit from being more straightforwardly defined, because terms such as extra-care carry too little meaning for members of the public as well as professionals and politicians; alongside establishing clearer identities, efforts should be made to further potential residents' understanding of the benefits of modern housing-based care models; the adult social care sector must also get better at setting out the broader business case for housing-based care, especially in terms of the savings it offers to the NHS; extra-care development should be tailored to local needs, rather than being delivered on a one-size-fits-all basis, to meet demand in rural areas and towns as well as cities; the needs of Black and ethnic minority communities, and other marginalised groups, should be a key focus when commissioning housing with care; strategic leadership is crucial to bring together partnerships that can create workable solutions. (Edited publisher abstract)
Digital transformation in social care: how to get it right
- Author:
- TURNER Alex
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 26
- Place of publication:
- London
This report explores how social care sector leaders can implement digital technology to optimise social care outcomes. In a rapidly changing adult social care landscape, the need to accelerate the adoption of digital solutions has come into even more of a sharp focus during the pandemic. The paper argues that social care leaders need a detailed understanding of the outcomes they want to improve, or efficiencies they want to make, and how technology can meet these aims, in order to successfully lead change programmes, commission solutions prudently and validate new approaches; digital solutions need to be introduced to staff with a compelling narrative and underpinned by training; technology needs to be interoperable with other systems and easily accessible to staff; collaboration and joint-working is key help shape the design and to help scale-up projects; and transparent conversations and a robust approach to information governance is needed. (Edited publisher abstract)
Accelerate: empowering social care leaders: learning from the fourth cohort
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 7
- Place of publication:
- London
A report on the experiences of the fourth cohort of adult social care leaders attending the Newton and Association of Directors of Adult Social Services (ADASS) Accelerate programme. The programme aims to develop the ability of directors and senior leaders in adult social care to deliver strategic and organisational change. The programme is divided into four modules that mirror the stages (Edited publisher abstract)
Waiting for care and support: May 2022
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Pagination:
- 7
- Place of publication:
- London
This is a summary of the ADASS survey carried out in April 2022, which combined a continuation of the monthly monitoring of people waiting for assessments, care and support or a direct payment to begin or a review of their care plan (which was committed until July 2022), together with a repeat of the survey measuring homecare hours delivered in a quarter. This was last reported in January 2022. There were 94 responses to this survey, which is a 62% response rate. The results are extrapolated to represent figures for 152 local authorities for comparative purposes. This summary report combines these latest results with data over the last year, including surveys in April (Spring Survey), July and November (Homecare), and November 2021, January and February 2022 (Assessments). Surveys of local authorities' use of contingency measures were reported in January and March of this year. Key findings include: the number of hours of homecare delivered increased significantly in 2021/22; the number of hours of homecare that it has not been possible to deliver due to capacity has risen very significantly; the number of people waiting for an assessment, for care and support or direct payments to begin or for a review of their care plan is continuing to rise very significantly. (Edited publisher abstract)
ADASS winter contingencies survey
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2022
- Place of publication:
- London
This paper sets out findings from an ADASS members survey on staff shortages, social care fragility and the impact of winter and the omicron variant on social care. The survey was based on a list of potential emergency contingency measures drawn up by experienced Directors of Adult Social Services (DASSs). These were shared first to assist DASSs across the country in reviewing their contingency plans and then to assess whether any of the measures were being taken. Measures covered: staff rewards, incentives and recruitment; contracts, purchasing and commissioning; staffing and redeployment; prioritising and risk assessment; carers; assessment. The clear messages from the survey are that of the Councils that responded include: all 94 are implementing at least some contingency actions in the current circumstances – the responses made clear that these are actions which councils judge to be essential, but these are by no means actions which they wish to take; 49 Councils are, for at least some of the time, taking at least one of the measures needed to prioritise care and assess risk that Directors regard as least acceptable g. prioritising life sustaining care such as supporting someone to eat, and remain hydrated over supporting someone to get out of bed or complete other activities; being unable to undertake reviews of risk at all or to rely for this on the views of providers, family carers or people using services themselves; and leaving people with dementia, learning disabilities or poor mental health isolated or alone for longer periods than usual. In summary, the need for these measures illustrates the fact that these are unprecedented times: none of the actions described is ideal or desirable, showing that the current position as a national emergency in Adult Social Care. (Edited publisher abstract)
ADASS home care and workforce rapid survey: November 2021
- Author:
- ASSOCIATION OF DIRECTORS OF ADULT SOCIAL SERVICES
- Publisher:
- Association of Directors of Adult Social Services
- Publication year:
- 2021
- Pagination:
- 10
- Place of publication:
- London
Findings from a rapid survey of Directors of Adult Social Services on home care markets and workforce. The survey demonstrates a rapidly deteriorating situation in relation to social care for older and disabled people and for carers. More care at home is being delivered, with 15% more care at home delivered between August and October compared with April to July 2021. However, it is not keeping pace with increasing levels and complexity of needs. The results highlight that it is not proving possible to scale up provision further. There has been an even bigger increase (164%) in the total number of home care hours that DASSs reported were unable to be delivered. This shows that increases in need are far outstripping even this increased provision. More people are waiting for assessments, care and support or reviews. There has been a 271% increase in people waiting for more than 6 months for an assessment compared to the previous survey. There has also been a 20% increase in people who have had an assessment and are waiting for care and support or a direct payment and there are 166,136 overdue reviews of care plans. As a result of the unavailability of care and support due to recruitment and retention issues, around 1 in 10 people are only able to be offered care options that wouldn’t have been what would have chosen or need. Concerns about staffing levels, business closures and hand-backs, which were already high and rising, are now even more profound. About twice as many Directors of Adult Social Services are reporting the closure of home care businesses as 6 months ago. The proportion of DASSs reporting nursing or residential home closures or providers ceasing trading over the past six months was 48%, compared to 35% for the six months prior to that. (Edited publisher abstract)