of procedural guidance relating to wbc adult placement shared lives services

252 Pages·2011·4.34 MB·English

by  Lia Nikitopoulos

Adult Placement Shared Lives
Carer Handbook
Part 2
Procedural Guidance
Version 1 March 2011
“to enable
vunerable people to
live an ordinary life
in their community
while staying
healthy and safe”
Introduction

The West Berkshire Adult Placement Shared Lives Service (WBC APSL)
provides an opportunity for people to live and ordinary life in their community
and share in the family life of their carer.

We aim to continue maintaining an Excellent service – offering a range of
innovative services that provide safe and stable placements for people accessing
the service.

The APSL service regards APSL carers as members of the professional care
team. The service is committed to providing carers with any guidance, support
and training necessary to enable them to offer high quality care and support to
people.

The work activities of the APSL service is guided by the Adult Placement
Regulations and National Minimum Standards (2004) as well as associated
legislation and overarching WBC policies and procedures.

This handbook aims to provide WBC APSL carers with easy access to
information about policies, procedures and key practice guidance arising from
these directives. Please note this guidance is additional and complementary to
these regulations and standards.

WBC APSL Service wishes to involve APSL carers in the development of the
Adult Placement Shared Lives service and will welcome any comments that APSL
carers have about how this handbook can be improved for the benefit of carers
and people using the service.

The involvement of the Family Placement Team, the Home Care team as well as
the National Association of Adult Placement Schemes (NAAPS) in the
development of this handbook has been much appreciated.

Lia Nikitopoulos
APSL Operational Manager

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INDEX OF PROCEDURAL GUIDANCE RELATING TO WBC
ADULT PLACEMENT SHARED LIVES SERVICES

No. Procedural Guidance Page

Introduction to Adult Placement Shared Lives
1 Statement of Purpose 8
WBC APSL Scheme Leaflet in APSL Carer Folder

Process for APSL arrangements
2 Referrals 20
Referral form and supporting information in person’s folder
3 Assessment of needs 22
Copy of needs assessment in person’s folder
App.1 BILD Fact Sheet – Learning Disability 214
4 Matching 24
5 Introductions 26
6 Emergency Shared Lives arrangements 28
7 Shared Lives (Adult Placement) agreements 31
Copy of APSL agreement in person’s folder
8 Individual planning, monitoring and review 33
Copy of Placement Plan in person’s folder
Copy of Placement review and/or Care Manager’s review in
person’s folder
App.2 BILD Fact Sheet – Person Centred Planning 218
9.1 Ending a Shared Lives arrangement 36
9.2 Moving From APSL Protocol 38

Supporting people in their Daily Lives
App.3 WBC APSL service - Values in Action information 223
10 Making choices and decisions 42
Mental Capacity Act – Easy Read Summary in APSL Development
Folder in APSL Carer folder
App.4 BILD Fact Sheet – Advocacy 230
11 Communication 44
App.5 BILD Fact Sheet – Communication 234
12 Contact with family and friends 47
13 Cultural and religious customs 49
14 Daily life and inclusion in the community 51
15 Safe friendships and relationships 53
16 Personal care 56
17 Intermediate care 58
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No. Procedural Guidance Page
18 Staying healthy and making use of health resources 60
Copy of Health visit records in person’s folder
Copy of Health Action Plan in person’s folder
19 Working with and responding positively to people who challenge 63
services
20 Dealing with emergencies and crises 66
21 Key holding and entering and leaving a person’s home 68
22 Being missing from a Shared Lives arrangement 70
23 Palliative care, death and dying 72

Health and Safety
APSL Scheme Notification form in person’s folder 76
Safety Booklet in APSL Carer Folder
24 Health and safety 78
25 Risk assessment and risk management 80
Risk management strategies on person’s folder
26 Safe working practices (including moving and handling) 83
27 Accidents and dangerous occurrences 87
28 First aid 89
Epilepsy First Aid guidance in APSL Carer folder
Emergency First Aid booklet in APSL Carer folder
29 Fire safety 91
Fire Safety in Adult Placements: A code of Practice in APSL
Carer folder
Fire Safety monitoring records in APSL Carer folder
30 Control of substances hazardous to health (COSHH) 93
31.1 Communicable diseases and infection control 95
31.2 Infection Control in the Home - Guidance 98
32 Handling medicines 122
Medication management records in person’s folder
33 Food safety and nutrition 125
Food Safety Handbook in APSL Carer folder
34 Aggression towards APSL Carers and workers in the service 127
35 Lone workers 129
Carer Lone working Risk Assessment in APSL Carer folder

Safeguarding
36 Safeguarding against abuse and neglect 132
37 Management of people’s money, valuables and financial affairs 138
Payment records in APSL Carer folder
Budget sheets and records in person’s folder
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No. Procedural Guidance Page
38 Restriction of liberty 141
39 Harassment and bullying 143

Good practice throughout the service
40 Equal opportunities 146
41 Standards of conduct and practice 149
App.6 GSCC Code of Practice 239
42.1 Complaints and concerns 152
42.2 Guidance for managing concerns about the conduct or standards 155
of work of an APSL carer
42.3 Carer Agreement 162
Complaints Leaflet in APSL Carer folder
43 Whistle blowing 171
44.1 Confidentiality 173
44.2 Confidentiality statement 175
45 Continuous improvement in the service 177
46 Consultation and participation in running the service 180
47 Record keeping 183
48 Access to files 185
49 Joint working and information sharing 187
50 Smoking and the use of alcohol and drugs in the service 189
Recruiting, employing or assessing, reviewing, and
developing workers and APSL Carers
51 Working with volunteers 194
52.1 Training and development 197
52.2 Relevant Social Care Training courses 200
Carer’s Personal Development Plan (PDP) in APSL Carers folder
Copy of Learning Disability Qualification (LDQ) workbook in
APSL carer folder
53.1 Approval Panel 202
54 Recruitment and assessment of APSL Carers 206
55 Supporting and reviewing APSL Carers 209
Copy of carer review in APSL Carer folder
Copy of Carer Agreement in APSL Carer folder
Copy of carer knowledge record

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This page has been left blank intentionally.
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Introduction to APSL

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WBC Adult Placement Shared Lives
Procedural Guidance no.1

Statement of Purpose

The West Berkshire Adult Placement Shared Lives service provides an
opportunity for people to live an ordinary life in their community and share
in the family life of their carer.

This Statement of Purpose summarizes the operation of the Adult placement
Shared Lives (APSL) Service provided by West Berkshire District Council,
Directorate Community Care and Well Being, Learning Disability Service, Adult
Placement Shared Lives Team. This document should be read in conjunction with
wider departmental policies relating to Adult Community Services.

Legal Context

The organisation and day-to-day operation of the APSL service falls primarily
within the framework of law and regulation provided by the following:

• The Care Standards Act (2000)
• Health and Social Care (Community Health and Standards) Act (2003)
• National Care Standards Commission (Registration) Regulations (2001)
• Commission of Social Care Inspection (Fees and Frequency of Inspections)
Regulations (2007)
• Adult Placement Schemes (England) Regulations (2004)
• National Minimum Standards for Adult placement Schemes (2004)

The vision of the APSL Team is:

That we maintain an Excellent service - offering a range of high quality and
innovative services that provide safe and stable placements for people. This will
be achieved by a skilled, dedicated and motivated team of staff and carers
working, in partnership with a range of service providers, to ensure the best
possible outcomes for people using the service. The APSL team will be a valuable
source of specialist knowledge within Adult Services. The service will continually
evaluate effectiveness and involve users and carers in planning and development
to make sure the highest standards are maintained.
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Description of Adult Placement Shared Lives service:

The aims of the APSL Service are:

• To enable people to live an ordinary life in their community while staying
healthy and safe
• To provided a person centred service
• To be flexible and responsive to service users’ needs, choices and
preferences within the resources available
• To involve service users in the planning and delivery of their care and support
• To treat everyone with dignity and respect
• To promote people’s independence by focusing on abilities and encouraging
people to be as self-directing as possible in all areas of their life
• To provide high quality, cost effective and efficient services
• To regularly review and monitor our services, and strive for continuous
improvement
• To promote equality of opportunity and anti-discriminatory practice

The Range of Services Provided

The APSL team recruits, trains, monitors and supports self-employed APSL
carers who provide a high quality locally based service to people. These APSL
carers are individuals or families in the community who provide an alternative
highly flexible form of accommodation and care or support inside or outside of
the APSL carer’s home.

The APSL offers a service to:

• Any vulnerable person over the age of 18 years that has had a Social worker/
Care management assessment of Need and is deemed to qualify for a social
care service. The person has expressed the desire to have their needs met
within Adult Placement or where someone lacks the mental capacity to make
this choice the best interest decision has indicated APSL as preference.
• Vulnerable young people from 16 years old that is in receipt of a service from
the Children and Young people’s team and has an assigned Social Worker that
joint manages the placement.
• Currently the majority of people using the service have a learning disability
however the service is available to any person in receipt of Community Care
services.
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Version 1 edited by Lia Nikitopoulos in March 2009 and reviewed in March 2010 with no changes needed
The APSL service currently offers:

• Planned and emergency short and long term accommodation with care and/or
support, or intermediate care and/or support in the family home (habitual
residence) of an Adult Placement Shared Lives Carer
• Supported Day Activities based in or outside the home of the APSL carer
• Day and overnight supported short breaks with or without personal care,
inside or outside the AP carer’s home to vulnerable people and their families
• Support in the community by an AP carer, acting as extended family(kinship)
support or ‘outreach’ support in the community
• Transport to and from activities

The APSL team supports these services by providing:

• Close links with relevant commissioning/care management teams to ensure
integrated planning and provision of services for individual service users and
effective service development work.

• An effectively administered payments scheme that covers the financial costs
of a placement. Fees and funding arrangements are assessed prior to
placements being offered and reviewed periodically. Close links with Welfare
Benefits, Supporting People and Housing Benefit teams to ensure service
users have access to appropriate funding, benefits are utilized appropriately
and charging assessments are fair.

• Skilled staff with the knowledge and experience to help ensure that the
service provided is safe and appropriate for all potential service users. To
monitor placements and ensure service users views are incorporated in
support provision and outcomes are achieved during annual placement review.

• Appropriately trained and experienced APSL staff to provide all APSL carers
with a named worker. These workers provide ongoing supervision, support,
information and advice to APSL carers. They also promote APSL carer
training and professional development needs.

• A proactive APSL carer recruitment, retention and skills development
strategy that seeks to maximise the number, range and specialism of APSL
carers locally and thus ensure there is appropriate local placement choice
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Version 1 edited by Lia Nikitopoulos in March 2009 and reviewed in March 2010 with no changes needed