How We Work?
When you realised that you needed care you may have approached Managing Care directly; alternatively, you may have been referred to us by the social services department from which you initially sought help and which has accepted at least some financial responsibility. In either case, information about you which is passed to us is dealt with sensitively and in confidence. Before providing any services we will need to talk with you as the person who is going to receive the service, perhaps with your carer or representative if there is one, and with the social services department which contacted us. At the very outset we ensure that the services we provide are suitable for you and meet your individual needs.
Assessing the need
If someone comes to us from a social services department, the local authority care manager will have carried out an assessment of what you need before deciding that domiciliary care, which is a care service delivered to your own home, is going to meet your needs. A summary of this information, usually called a needs assessment, will have been passed to us. However, we at Managing Care feel it is good practice to complete a needs assessment ourselves and will arrange a convenient time and day with you, a family member or representative to visit your home.
If you have approached us directly, we also need to make an assessment. To do this we will need to ask you detailed questions, and probably seek information from your carer, your doctor, and any other specialists who know about your health and needs. The assessment will be carried out by a specially-trained member of staff.
We hope that you do not find the process by which we get to know your needs too intrusive. We want to construct a full picture and we will do this as quickly and tactfully as possible. Remember, all the information will be treated confidentially. Our aim is always to make sure that we understand what you need and what your preferences are about services, so that we can respond in ways which really suit you.
Assessing the risks
If you have decided to have hourly care provided in your own home, you will know of course that it carries some risk. The carer is unlikely to be with you all the time so there will not be the same level of support as you would receive, for example, in a residential home. On the other hand you retain your independence and many people find that, on balance, a measure of risk is worthwhile. Nevertheless, we want to be sure that everybody concerned understands the risks and has thought about them responsibly and that the risks to be taken are not unreasonable or unnecessary. So, with you, we carry out a risk assessment, weighing up the risks to be taken with the advantages, and if it seems appropriate we might make suggestions as to how unnecessary risks can be minimised.
Client Care Plan
Having assessed your needs and the risks in the situation, we then — again with help from you and your carer or representative — prepare a plan for the care we expect to deliver. This is called the Client Care Plan because you as the client really are central to it. It will specify the services we will provide, with details like timings of carer visits and the special tasks to be performed, and will state what we all hope to be the objectives of providing the service and how we plan to achieve those objectives.
Reassessing the need and reviewing the care
Of course, over time your needs may change. You may need more or less care, the type or pattern of service may have to be varied, new risks may become apparent. Again with your help, we will keep your needs under review and take decisions about the care accordingly. If at any time there are aspects about the care which you would like to change, let us know. Otherwise a review of the care package provided will be reassessed every 4 months and a new client care plan if required. Risk and needs assessments will be carried out annually following initial assessment.