Improving outcomes for service users in adult placement - Commissioning and care management



In 2005, as part of its Effective Services for Adults work, SCIE commissioned a practice survey to identify good practice assessment, care planning and social work in adult placement services, and to explore strategies for tackling barriers to good practice.

The project builds on an earlier study on person-centred approaches and adult placement, undertaken for SCIE in 2004 (1) and leading to SCIE guidance (2), in which service users, adult placement carers and scheme staff identified good practice but also highlighted a number of commissioning and care management issues affecting best practice in adult placement services (see Appendix 1).

This report sets out the findings of the 2005 practice survey, and suggests practice points for care managers, line managers and their managers, and directors of adult social care services, as well as adult placement schemes, to help improve outcomes for people using adult placement services.


Adult placement provides highly flexible, short- or long-term accommodation and/or support for up to three adults in the family home of an adult placement carer. People in adult placements live an ordinary, domestic life in the local community, sharing in the life and activities of the adult placement carer. Adult placement can also offer home-based day services and outreach or kinship support. The majority of users of adult placement are people with learning disabilities, but older people, people with mental health problems, people with physical disabilities, and people with complex and multiple needs are also effectively supported through this service.

Adult placement services are defined by their association with adult placement schemes, which are subject to regulation under the Care Standards Act 2000. (3).