Search results for ‘Subject term:"mental capacity"’ Sort:
Results 1 - 9 of 9
Personalisation briefing: personalisation and mental capacity
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- London
This briefing provides an overview of how issues of mental capacity should be considered in the context of personalisation, and the implications for staff working in social care, including the private and voluntary sectors. Key messages are summarised at the beginning of the document. The main areas are discussed in the following sections: supporting people to make their own decisions; assessment; receiving a personal budget; direct payment to a ‘suitable person’; managed personal budget; developing a support plan; monitoring and review and Court of Protection.
Personalisation and growing old well with dementia
- Author:
- COLQUHOUN John
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2016
- Pagination:
- 15
- Place of publication:
- London
In this paper looks at the origins of personalisation, which evolved from the disability movement to secure support services to enable disabled people to live independently and the Department of Health White Paper, ‘Valuing People’, which set out to transform the way that people with learning disability were supported in England. It discusses what is meant by the concept and some of the tensions and shortcomings of personalisation, including the lack of funding to implement the policy, the availability of choice. It then discusses the personalisation in relation to carers, self-funders, and specific issues concerning personalisation and growing old with dementia. The author argue that for people growing old with dementia it is the person-centred approach, with a thorough Care Act assessment, rather than a personal budget that is key. The author concludes by suggesting a 10 point strategy for the implementation of personalisation for people with dementia. (Edited publisher abstract)
A practical guide to safeguarding
- Author:
- NISBET Robert
- Journal article citation:
- Nursing and Residential Care, 15(1), 2013, pp.45-48.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
The idea behind safeguarding is to protect adults who are likely to at risk from abuse and neglect caused by others. Although providers should comply with the Care Quality Commission requirements, emphasis should also be placed on preventing abuse through the creation of a positive culture in which safeguarding is integral to the safety and well-being of residents, visitors and staff. An intervention introduced to assist or protect a person should be designed for the specific needs of the individual and subject to review. However, there is a danger that in care homes safeguarding practices may stifle and personalised approaches to care. This article argues that personalisation should be implemented in the context of safeguarding, and encourages staff to work together to achieve an integrated approach in the care home.
Indirect payments: when the Mental Capacity Act interacts with the personalisation agenda
- Authors:
- JEPSON Marcus, et al
- Journal article citation:
- Health and Social Care in the Community, 24(5), 2016, pp.623-630.
- Publisher:
- Wiley
This paper reports findings from a study that aimed to explore how practitioners were bringing together the demands of the personalisation agenda, in particular the offer of direct payments (DPs), with the Mental Capacity Act, and to investigate current practices of offering and administering indirect payments for people who lack capacity to consent to them, including the use of ‘suitable person’ proxies under the new regulations (DH, 2009). The study adopted a qualitative interview-based design; participants were social work practitioners (67) and recipients of ‘indirect’ payments (18) in six local authorities in England in 2011–2012. The paper reports on five key decision-making points in the indirect payments process: the decision to take on an indirect payment, the assessment of mental capacity, the identification of a suitable person, the establishment of the care recipient's best interests and the decisions about how to execute the indirect payment. The authors found that practitioners and suitable people had different experiences of the system, although in both cases, there was overarching support for the benefits of enabling people who lack capacity to consent to a DP to receive their social care funding in the form of an ‘indirect’ payment via a proxy suitable person. (Publisher abstract)
Beginning to explore the experience of managing a direct payment for someone with dementia: the perspectives of suitable people and adult social care practitioners
- Authors:
- LAYBOURNE Anne H., et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(1), 2016, pp.125-140.
- Publisher:
- Sage
Following legal improvements made around mental capacity together with the Health and Social Care Act, it is now possible for a direct payment to be paid to a ‘Suitable Person’ to manage on someone’s behalf to purchase directly care and support services. People with dementia are a key group affected by this change in England of adult social care. The authors interviewed nine social care practitioners and seven Suitable People for people with dementia across five English local authorities to begin to examine their experiences of this new method of social care provision. Findings from thematic analyses suggest positive outcomes and multiple beneficiaries, but some challenges: potentially inappropriate processes, support planning, divergence in attitudes towards care and support outcomes. Implications for practice include obfuscation of recipients’ and Suitable People’s best interests and supporting practitioners to explore fully clients’ aspirations for care and support. (Edited publisher abstract)
‘Inherently risky?’: personal budgets for people with dementia and the risks of financial abuse: findings from an interview-based study with adult safeguarding coordinators
- Authors:
- MANTHORPE Jill, SAMSI Kritika
- Journal article citation:
- British Journal of Social Work, 43(5), 2013, pp.889-903.
- Publisher:
- Oxford University Press
The shift within publicly funded social care towards personal budgets and Direct Payments may present some risks as well as advantages to people with dementia. Fifteen Adult Safeguarding Coordinators were interviewed in 2011, building on earlier interviews. Thematic analysis was used to identify three main consistencies in response. Most participants saw personal budgets as potentially risky, but outlined ways in which these risks could be minimised and felt that the principles of risk empowerment could be used by practitioners to support people with dementia, carers and care staff and enable greater protection against financial abuse. Principles of the Mental Capacity Act were seen as offering some safeguards for when an individual lacks capacity, but not when they are vulnerable, mildly confused and less vigilant. Alongside a need for social work practitioners to be more alert to signs and risks of financial abuse, safeguarding practitioners urged regular reviews and monitoring that flag up inconsistencies in spending patterns. If not, system neglect may add to individual cases of abuse. (Publisher abstract)
A joined up approach to safeguarding and personalisation: a framework for practice in multi-agency decision-making
- Authors:
- GALPIN Diane, HUGHES Dorena
- Journal article citation:
- Journal of Adult Protection, 13(3), 2011, pp.150-159.
- Publisher:
- Emerald
Social work practitioners need to be able to work together with other professionals, service users, carers and communities to make decisions that effectively balance risk, choice and rights with protection and autonomy, whilst maximising well-being and minimising risk of harm. There is a need for effective practice in multi-agency decision-making to be central to delivering a system of personalised care that both empowers and protects. The aim of this paper is to provide a simple framework designed to support practitioners in facilitating effective multi-agency decision-making. It uses the Harvard Business model which identifies the following key stages as being crucial to decision-making; first, establishing context; second, framing the issue; followed by generating alternatives and evaluating alternatives; and finally choosing the best option. This paper adds an additional step of identifying actions and those responsible for implementing them. The article concludes that there needs to be commitment at an organisational and practitioner level to develop decision-making processes that ensure safeguarding and personalisation is interwoven as efficiently and effectively as possible.
NHS continuing healthcare: practice guidance
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 64p.
- Place of publication:
- London
This practice guidance aims to support practitioners and others with responsibilities for NHS continuing healthcare in the implementation of the ‘National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care: July 2009’. It provides a practical explanation of how the Framework should operate on a day-to-day basis and cites examples of good practice. The guidance explains key principles and concepts, and addresses the need to apply the principles of the Mental Capacity Act 2005 when dealing with issues of capacity and consent in relation to NHS continuing healthcare. It provides guidance regarding use of the following instruments: the Fast Track Pathway Tool, which is used to gain immediate access to NHS continuing healthcare for individuals in urgent need; the Checklist, which is a screening tool used to identify individuals who need referral for full consideration of their need for NHS continuing healthcare; and the DST (Decision Support Tool) which collates and presents the information from a multidisciplinary assessment in a way that assists consistent decision making for NHS continuing healthcare eligibility. The guidance also considers: how NHS continuing healthcare links with hospital discharge policy and interim processes; eligibility and panel processes; disputes that may arise in relation to NHS continuing healthcare; and care planning, commissioning and personalisation for people entitled to NHS continuing healthcare.
Making safeguarding personal and social work practice with older adults: findings from local-authority survey data in England
- Authors:
- COOPER Adi, COCKER Christine, BRIGGS Mike
- Journal article citation:
- British Journal of Social Work, 48(4), 2018, p.1014–1032.
- Publisher:
- Oxford University Press
This article presents the results of a survey of English local authorities undertaken in 2016 about the implementation of Making Safeguarding Personal (MSP) in adult social care services. MSP is an approach to adult safeguarding practice that prioritises the needs and outcomes identified by the person being supported. The key findings from a survey of local authorities are described, emphasising issues for safeguarding older adults, who are the largest group of people who experience adult safeguarding enquiries. The survey showed that social workers are enthusiastic about MSP and suggests that this approach results in a more efficient use of resources. However, implementation and culture change are affected by different factors, including: austerity; local authority systems and structures; the support of leaders, managers and partners in implementing MSP; service capacity; and input to develop skills and knowledge in local authorities and partner organisations. There are specific challenges for social workers in using MSP with older adults, particularly regarding mental capacity issues for service users, communication skills with older people, family and carers, and the need to combat ageism in service delivery. Organisational blocks affecting local authorities developing this ‘risk enabling’ approach to adult safeguarding are discussed. (Edited publisher abstract)