Adult Social Care
Adult Social Care in Somerset supports adults of a working age and older people who have disabilities, mental health problems, a sensory loss or general frailty. The aim is to actively promote independence and choice. The service helps people to live in their own homes for as long as possible, and when this is no longer possible, to choose a suitable care home.
Adult Social Care in Somerset provides support in the following areas:
- Assessment of needs and care planning, co-ordination and review.
- Advice about care, health, housing and money.
- Emotional and practical support.
- Protection of vulnerable adults.
- Residential and nursing care.
- Personal care at home.
- Community meals.
- Day Services and opportunities.
- Equipment to support independence.
- Adaptations to the home environment.
- Support for carers and providing breaks.
- Direct Payments.
- Financial assessments and benefits advice.
In 2013/14, the net expenditure in relation to Adult Social Care in Somerset was £133million, equating to 40% of Somerset County Council’s total expenditure. During the year those receiving care paid a total of £23 million towards the cost of their care (based on their ability to pay according
to nationally agreed financial assessment criteria).
Current demands on provision of care
- 14,234 adults received a package of care
- 37% of people aged 65+ that received a reablement package upon discharge from hospital were able to stay in their own homes rather than go into a long term care facility.
- 9% of clients with a Learning Disability are able to live in their own home or with family members.
- 7% of clients who receive Services say that those services make them feel safe and secure.
- 83% of ‘Section 42’ Safeguarding enquiries resulted in the risk being either reduced or removed entirely.
- 98% of Safeguarding pathway decisions are made within two days.
- Somerset County Council received over 60,000 telephone calls during the year relating to adult social care.
- Adult Social Care supported over 30,000 people with social care and housing, and of these over 18,000 people received social care services at some point during the year, such as home care, residential care, day services or equipment.
- Over 9,000 people received support and services for a short time that supported them to maximise their independence so that they could stay in their homes for longer.
- Over 4,000 people received housing support in designated accommodation such as sheltered housing and extra care housing schemes.
- Adult Social Care commissioned preventative services to support people in their local community, such as Compass Carers, who provide an advice and information service to support carers, and Somerset You Can Do, who recruit and co-ordinate volunteers to support community activities, including Active Living Centres. Over 7,000 people attended Active Living Groups during the year.
Anticipated future demands on provision of care
The following are anticipated due to changing population demographics, declining County Council budgets, and the requirements of the Care Act 2014:
- More demand for information and signposting to local sources of support.
- Fewer people will choose residential care homes.
- More people will need independent financial advice in the light of the cap on care costs from 2015.
- More disabled / frail people will want sustainable housing that supports their independence in their local community.
- More people choose to take up Direct Payments so that they have more choice and flexibility in how to get their needs met.
- More people want flexible care and support at home services to live independently.
The above are taken from Somerset's Adult Social Care 'Local Account'. The Local Account presents an ongoing picture of local services, demands, budgets, and how services are performing, including findings from the latest annual Adult Social Care User Survey. To access the Local Account, click here.
Somerset Safeguarding Adults Board
The Somerset Safeguarding Adults Board (SSAB) is a multi-agency partnership. It includes Somerset County Council, Avon and Somerset Constabulary and the Somerset Clinical Commissioning Group, who work together to protect vulnerable adults from harm.
In April 2016 the SSAB launched a new website to give people a better understanding of adult safeguarding. This will enable people who may be at risk to report abuse, and professionals to find information on adult safeguarding.
A vital role of the Board is to raise public awareness of what safeguarding is. The website contains a range of useful information to help raise public understanding of who may need support, when help may be needed and how it can be accessed, as well as more information about the role of the Board. Staff working with people with health or social care needs can also visit the website to access policy and practice guidance, and other resources.
Public Health England has published Adult Social Care Profiles for all local authorities in England, bringing together over 90 indicators structured around the Adult Social Care Outcomes Framework.
Analysis of 2013/14 Adult Social Care User Survey results by Rural-Urban Classification are available here, produced as part of a JSNA focus on the impact of rurality on health and well-being.