SCIE uses cookies to store information on your computer. This information is used to make parts of the site work and so we can understand how the site is used. If you have used some parts of the site, or have registered for a MySCIE account, a cookie will have already been set.

To find out more about why we use cookies and for information on how to delete and block cookies from this site, please visit our cookies page.

  I accept cookies from this site.


Find prevention records by subject or service provider/commissioner name

  • Key to icons

    • Journal Prevention service example
    • Book Book
    • Digital media Digital media
    • Journal Journal article
    • Free resource Free resource

Results for 'social care provision'

Results 1 - 10 of 18

Building the right support: a national plan to develop community services and close inpatient facilities for people with learning disability...including those with a mental health condition


Sets out a national plan to enable people with learning disabilities who display behaviour that challenges to be supported to live more independently in their local community and reduce reliance on institutional care and long stay hospitals. The plan looks at the learning from the six 'fast track' areas; describes the new services that will be needed to better support people with learning disabilities to live in the community; and outlines how transforming care partnerships (commissioning collaborations of local authorities, CCGs and NHS England partners) in health and care will need to work together to deliver these changes. Areas discussed include: the need for appropriate local housing, such as schemes where people have their own home but ready access to on-site support staff; an expansion of the use of personal budgets, enabling people and their families to plan their own care, beyond those who already have a legal right to them; for people to have access to a local care and support navigator or key worker; and investment in advocacy and advice services run by local charities and voluntary organisations. To achieve the shift from inpatient to community-based services the plan identifies three key changes: that local councils and NHS bodies will join together to deliver better and more coordinated services; pooled budgets between the NHS and local councils to ensure the right care is provided in the right place; and adoption of a new service model.

Supporting the independence of older people: are councils doing enough?

THOMAS Huw Vaughan

This report examines how effective councils in Wales have been in providing strategic leadership on older person’s issues. It analyses the Welsh Government’s and councils’ budgets, looking at the range and availability of preventative services across Wales, focusing on four core aspects that support older people to continue to live independently: practical support services; community based facilities; advice and information services; and housing and housing based services. The report also assesses councils’ performance management arrangements for overseeing services to older people, examining the information that is used by councils to judge performance. The review argues that Councils’ strategies and leadership focus too much on delivery of social services and do not always recognise the important contribution that other services can make in supporting and sustaining the independence of older people. Despite some innovative examples of councils supporting older people, the wider preventative services that can help reduce demand for health and social services are undervalued. A lack of data is making it difficult for councils to demonstrate the impact of their services in supporting the independence of older people, and this weakens their decision making and scrutiny when setting future priorities.

Assessing social care market and provider sustainability: part B: toolkit


Provides a framework to help local authorities implement a test of care market sustainability, and offers insights about when a provider requires further monitoring. Many local authorities have developed highly effective systems for gathering local market intelligence in relation to the part of the market with which they contract for services. This intelligence may be gathered both formally and informally and involve a broad range of approaches. This toolkit is designed to complement such approaches by providing a clear structure for local authorities to consider the totality of the local market, only a proportion of which they will directly contract with. There are five phases to the application of the toolkit: determining local market segmentation; evaluation of external indicators; evaluation of sub market composition indicators; forming a judgement on sustainability and deciding which ‘hard to replace’ providers to monitor; and understanding and monitoring the sustainability of ’hard to replace’ providers.

Assessing social care market and provider sustainability: project report


Summarises the methods and approach, discusses the learning and shares knowledge arising from the ‘Assessing social care market and provider sustainability’ project, which has developed guidance and a toolkit for the Department of Health, the Local Government Association, and the Association of Directors of Adult Social Services. These resources are designed to support implementation of the Care Act 2014 and help local authorities fulfil their responsibilities in the event of a care provider failure.

Micro-enterprises: small enough to care?

NEEDHAM Catherine, et al

Outlines the findings of an evaluation of micro-enterprises in social care in England, which ran from 2013 to 2015. The report focuses on very small organisations, here defined as having five members of staff or fewer, which provide care and support to adults with an assessed social care need. The research design encompassed a local asset-based approach, working with co-researchers with experience of care in the three localities. Twenty seven organisations took part in the study overall, including 17 micro-providers, whose performance was compared to that of 4 small, 4 medium and 2 large providers. A total of 143 people were interviewed for the project. The study found that: micro-providers offer more personalised support than larger providers, particularly for home-based care; they deliver more valued outcomes than larger providers, in relation to helping people do more of the things they value and enjoy; they are better than larger providers at some kinds of innovation, being more flexible and able to provide support to marginalised communities; and they offer better value for money than larger providers. Factors that help micro-providers to emerge and become sustainable include: dedicated support for start-up and development, strong personal networks within a localities, and balancing good partnerships (including with local authorities) with maintaining an independent status. Inhibiting factors, on the other hand, include a reliance on self-funders and the financial fragility of the organisation. The report makes the following recommendations: commissioners should develop different approaches to enable micro-enterprises to join preferred provider lists; social care teams should promote flexible payment options for people wanting to use micro-enterprises, including direct payments; social workers and other care professionals need to be informed about micro-enterprises operating close-by so that they can refer people to them; regulators need to ensure that their processes are proportional and accessible for very small organisations; and micro-enterprises need access to dedicated start-up support, with care sector expertise, as well as ongoing support and peer networks.

Social care for marginalised communities: balancing self-organisation, micro-provision and mainstream support

CARR Sarah

This briefing reviews recent research on social care support provision for certain people with protected characteristics under the Equality Act 2010, who are often seldom heard in mainstream services. It draws out messages for social care micro-providers and social care commissioners, focusing on two areas: the marginalising dynamics in mainstream, statutory social care support provision for certain people with protected characteristics; and how local community, specialist or small-scale services are responding to unmet need for support and advice among marginalised groups. The majority of research identified looked at issues and experiences of black and minority ethnic (BME) communities, with a large number of studies dedicated to understanding the role of family carers, particularly from South Asian backgrounds. A smaller body of work on lesbian, gay and bisexual (LGB) older people and carers was found. Similarly, a number of research studies on support for and by refugees and asylum seekers were identified. Some research on the role of faith was also found. By comparing research findings across several groups, common issues about engagement with mainstream services and the function of community based and specialist support became apparent. The main themes and messages coming from the research for commissioners and providers focus on: strategies for responding to marginalisation from the mainstream, including assets and community mobilisation, reciprocity and social inclusion, informal networks and self-organisation; accessing and engaging with mainstream provision, highlighting issues of fear of discrimination, uniformity and homogenisation, language and communication; relationship dynamics between large, traditional mainstream and small, specialist community, including capacity building and partnerships, advocacy and accessing mainstream support, choice and voice; understanding informal support in diverse communities, in which a key role is played by culture, stigma and shame, well-being, identity and resilience, and faith; and effective approaches, including emotional and social support, and non-conventional, networked and holistic support.

Wiltshire Council: help to live at home service: an outcome-based approach to social care: case study report


The case study describes the process that Wiltshire Council has used to develop its new ‘Help to Live at Home Service’ for older people and others who require help to remain at home. The approach focused on the outcomes that the older people wish to gain from social care. It involved a complete overhaul of the social care system from the role of the social worker working alongside the customer to determine the required outcomes to the role of the providers of the service who must deliver these outcomes and receive payment based on that delivery. The report aims to promote discussion about how outcomes-based, personalised support can best work in social care in England in the future.

LGA Adult social care efficiency programme: the final report


This is the concluding report from the LGA Adult Social Care Efficiency (ASCE) programme. The programme was launched in 2011 in response to the significant cuts to council budgets and their impact on adult social care. The aim of the programme is to support councils to develop transformational approaches to making the efficiency savings required to meet the challenge of reduced funding. The report shares innovative and transformational examples of how councils are bringing together businesses, public sector partners and communities to develop lower-cost solutions to support the most vulnerable in our society. In particular, it outlines some key lessons around developing a new contract with citizens and communities, managing demand, transformation, commissioning, procurement and contract management, and integration. It looks at efficiency approaches in practice, with specific reference to assessment, advice and information, delivering preventative services, avoiding admissions and reducing costs of residential care, reducing costs in domiciliary care and transforming learning disability services. In addition, it considers local approaches to developing effective internal management, reshaping the service and working with partners, customers and suppliers.

Improving later life: services for older people: what works


This report presents jargon-free summaries of research on key aspects of services for older people, each written by experts in their field. It also draws out seven major themes from the research covering service design, the role of carers, the need for regular assessment, and the importance of social interaction. Contributors cover the following areas: service cost-effectiveness, what works in integrating health and care, dignity of older service users, safeguarding, supporting older people and their carers, council managed personal budgets, paying for social care, involving older people in evaluation and research, preventing isolation and loneliness, promoting inclusion in rural communities, housing with care, home telecare, supporting older people in the community, services for men, falls prevention, assistive technology for people with dementia, cognitive stimulation therapy for people with dementia, and memory services.

Assistive technology as a means of supporting people with dementia: a review


Awareness of Assistive Technology (AT) products, devices and solutions available is still sketchy and variable around the UK. There is almost a ‘postcode lottery’ relating to the quality of AT solutions available to people with dementia due to the varying approaches taken around the country. This paper reviews the current policy and practice in relation to AT supporting people to live well with dementia, including different housing settings and rounding off with some good practice case studies which highlight the wide array of technology solutions available. Included in this review are: a brief summary of different types of AT; a review of policy initiatives, including legislation, which have attempted to encourage the greater use of AT; ethical considerations; current practice by major housing providers; good practice examples; and people with dementia’s experience.

Results 1 - 10 of 18