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People's experience in adult social care services: improving the experience of care and support for people using adult social care services [NG86]

Measuring the use of this guidance

Recommendation: 1.1.1

Recognise that each person who uses services is an individual. Use each person's self-defined strengths, preferences, aspirations and needs as the basis on which to provide care and support to live an independent life.

What was measured: Proportion of adult social care service users who reported that they have as much control over their daily life as they want.
Data collection end: March 2017
33.3%
Data collection end: March 2018
33.5%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: Proportion of adult social care service users in community settings who reported that they have as much control over their daily life as they want.
Data collection end: March 2017
31.6%
Data collection end: March 2018
31.7%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: Proportion of adult social care service users in residential care settings who reported that they have as much control over their daily life as they want.
Data collection end: March 2017
40.4%
Data collection end: March 2018
42%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: Proportion of adult social care service users in nursing care settings who reported that they have as much control over their daily life as they want.
Data collection end: March 2017
27.5%
Data collection end: March 2018
25.6%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England


Recommendation: 1.2.1

In line with the Care Act 2014, local authorities must provide information about care and support services for people and their carers, including: • the types of care and support available • how to access care and support, including eligibility criteria • how to get financial advice about care and support • local safeguarding procedures and how to raise safeguarding concerns or make a complaint • rights and entitlements to assessments and care and support services • personal budgets and all the options for taking a personal budget – for example, local authority managed, Individual Service Fund or direct payment.

What was measured: Excluding those who answered "I've never tried to find information or advice", the proportion of service users who reported finding it very or fairly easy to find information about support, services or benefits.
Data collection end: March 2017
73.5%
Data collection end: March 2018
73.2%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: Excluding those who answered "I've never tried to find information or advice", the proportion of service users in community settings who reported finding it very or fairly easy to find information about support, services or benefits.
Data collection end: March 2017
69.5%
Data collection end: March 2018
69.4%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: Excluding those who answered "I've never tried to find information or advice", the proportion of service users in residential care settings who reported finding it very or fairly easy to find information about support, services or benefits.
Data collection end: March 2017
85.1%
Data collection end: March 2018
85.5%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: Excluding those who answered "I've never tried to find information or advice", the proportion of service users in nursing care settings who reported finding it very or fairly easy to find information about support, services or benefits.
Data collection end: March 2017
76.3%
Data collection end: March 2018
75.7%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: Excluding those who answered "I've never tried to find information or advice", the proportion of carers who reported finding it very or fairly easy to find information about support, services or benefits.
Data collection end: March 2017
64.2%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England


Recommendation: 1.3.19

Local authorities should: • inform people that they have the option to control their own funding to buy different sorts of care and support that meets their needs and chosen outcomes • provide information, advice and support so that the person can choose which option suits them best • give people the opportunity to exercise as much control as possible over the way they use any allocated funds to purchase a care package • inform people of the different options for managing their budget.

What was measured: Proportion of service users accessing long-term community support who were receiving self-directed support.
Data collection end: March 2017
89.4%
Number that met the criteria: 410295 / 459157
Area covered: England
Source: Adult Social Care Outcomes Framework, England

What was measured: Proportion of service users aged 65 and over accessing long-term community support who were receiving self-directed support.
Data collection end: March 2017
91.6%
Number that met the criteria: 225485 / 246237
Area covered: England
Source: Adult Social Care Outcomes Framework, England

What was measured: Proportion of service users aged 18 to 64 accessing long-term community support who were receiving self-directed support.
Data collection end: March 2017
86.8%
Number that met the criteria: 184810 / 212920
Area covered: England
Source: Adult Social Care Outcomes Framework, England

What was measured: Proportion of service users accessing long-term community support who were receiving self-directed support.
Data collection end: March 2018
89.7%
Number that met the criteria: 404984 / 451304
Area covered: England
Source: Adult Social Care Outcomes Framework, England

What was measured: Proportion of service users aged 18 to 64 accessing long-term community support who were receiving self-directed support.
Data collection end: March 2018
87.8%
Number that met the criteria: 186510 / 212338
Area covered: England
Source: Adult Social Care Outcomes Framework, England

What was measured: Proportion of service users aged 65 and over accessing long-term community support who were receiving self-directed support.
Data collection end: March 2018
91.4%
Number that met the criteria: 218474 / 238966
Area covered: England
Source: Adult Social Care Outcomes Framework, England


Recommendation: 1.3.20

Local authorities should ensure that the direct payment process is: • transparent about how the level of funding is decided • straightforward • accessible to all adults who receive social care and are eligible for local authority funding • reviewed periodically to make sure that it is meeting the objectives of the care and support plan • able to meet the legal obligations of the person receiving that direct payment if they employ personal assistants.

What was measured: Proportion of service users accessing long-term community support who were receiving direct payments.
Data collection end: March 2017
28.3%
Number that met the criteria: 129975 / 459157
Data collection end: March 2018
28.5%
Number that met the criteria: 128487 / 451304
Area covered: England
Source: Adult Social Care Outcomes Framework, England

What was measured: Proportion of service users aged 18 to 64 accessing long-term community support who were receiving direct payments.
Data collection end: March 2017
40.7%
Number that met the criteria: 86557 / 212920
Data collection end: March 2018
40.8%
Number that met the criteria: 86594 / 212338
Area covered: England
Source: Adult Social Care Outcomes Framework, England

What was measured: Proportion of service users aged 65 and over accessing long-term community support who were receiving direct payments.
Data collection end: March 2017
17.6%
Number that met the criteria: 43418 / 246237
Data collection end: March 2018
17.5%
Number that met the criteria: 41893 / 238966
Area covered: England
Source: Adult Social Care Outcomes Framework, England


Recommendation: 1.4.1

Service providers should foster a culture that enables practitioners to respect people's individual choices and preferences, in all settings where care and support is delivered, by: • co-producing policies and protocols with people who use services and their carers (see recommendation 1.1.9) • ensuring that there are open channels of communication between practitioners and people who use services • using the communication methods that suit the person, in line with the Accessible Information Standard • supporting people to take managed risks to achieve their goals – for example, taking part in hobbies or sports • ensuring that there are systems in place for reporting concerns or abuse • ensuring that practitioners have the time to build relationships with people • training and supporting practitioners to work in this way, and checking they are doing so.

What was measured: The proportion of service users who reported having enough choice over the care and support services they receive.
Data collection end: March 2017
67.6%
Data collection end: March 2018
68.2%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England


Recommendation: 1.4.5

Day care and residential care providers should offer a choice of activities that are led by the person's needs, preferences and interests. Encourage people to take part by including activities that motivate them, support them to learn new skills and increase their level of independence. Recognise that preferences are not fixed and may change.

What was measured: The proportion of service users who report that they're able to spend their time as they want, doing things they value or enjoy.
Data collection end: March 2017
36.4%
Data collection end: March 2018
37.3%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in community settings who report that they're able to spend their time as they want, doing things they value or enjoy.
Data collection end: March 2017
32.8%
Data collection end: March 2018
33.8%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in residential care settings who report that they're able to spend their time as they want, doing things they value or enjoy.
Data collection end: March 2017
48%
Data collection end: March 2018
49.8%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in nursing care settings who report that they're able to spend their time as they want, doing things they value or enjoy.
Data collection end: March 2017
33.8%
Data collection end: March 2018
33.4%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England


Recommendation: 1.4.11

All practitioners providing personal care should ensure that personal care needs are responded to in a timely, appropriate and dignified manner in line with the person's wishes and their support plan – for example, making sure that people can go to the toilet when and how they want.

What was measured: The proportion of service users who reported that they felt clean and able to present themselves the way they like.
Data collection end: March 2017
57.3%
Data collection end: March 2018
57.8%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in community settings who reported that they felt clean and able to present themselves the way they like.
Data collection end: March 2017
56%
Data collection end: March 2018
56.3%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in residential care settings who reported that they felt clean and able to present themselves the way they like.
Data collection end: March 2017
63.9%
Data collection end: March 2018
65.9%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in nursing care settings who reported that they felt clean and able to present themselves the way they like.
Data collection end: March 2017
48.2%
Data collection end: March 2018
47.1%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England


Recommendation: 1.4.15

Ensure that support in residential care is based on a good understanding of people's needs, including: • providing practical and emotional support • accommodating speech and communication needs • helping people to maintain the personal relationships and friendships that are important to them • supporting people to take part in activities and social groups that they want to be involved in, both in the residential setting and in the community • viewing behaviour that challenges as communication • providing access to community health teams and specialist support.

What was measured: The proportion of service users in residential care settings who report that they have as much social contact as they want with people they like.
Data collection end: March 2017
56.9%
Data collection end: March 2018
58.6%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in nursing care settings who report that they have as much social contact as they want with people they like.
Data collection end: March 2017
50.5%
Data collection end: March 2018
49.1%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England


Recommendation: 1.4.16

Practitioners should support people to participate fully in tasks and activities by ensuring that: • the environment is conducive to their needs • they have access to the equipment they need (for example, hoists or recliner chairs).

What was measured: The proportion of service users in residential care settings who report that their home is designed to meet their needs very well.
Data collection end: March 2017
70%
Data collection end: March 2018
70.8%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England

What was measured: The proportion of service users in nursing care settings who report that their home is designed to meet their needs very well.
Data collection end: March 2017
62.2%
Data collection end: March 2018
62.4%
Area covered: England
Source: Personal Social Services Adult Social Care Survey, England



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