How we deliver care

Initial Referral

When you realised that you needed care, you or a loved one may have approached Agrade Community Care Services directly; alternatively, you may have been referred to us by the social services department from which you initially sought help. In either case, information about you which is passed to us will be dealt with sensitively and in confidence. Before providing any services we will need to talk with you as the person who is going to be receiving the service, perhaps with your family or carer if there is one, and with the social services department which contacted us (if applicable). At the very out set we need to be sure that the services we provide are going to be suitable for you.

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 (that is a care service delivered to your own home) is going to meet your needs.

If you have approached us directly, we need to make an assessment ourselves. To do this we will need to ask you quite a lot of questions, and probably to seek information from your family and/or carer, your doctor, and any others specialists who know about your health and needs. The assessment will be carried out by specially trained staff.

We hope that you do not find the process by which we get to know your needs to intrusive. We want to build up 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 care provided in your own home, you will know of course that this carries some risk. The care worker is unlikely to be with you all the time so there will not be the same level of support as you would receive in, for example, a residential home. On the other hand you retain your independence and many people find that, on balance, a measure of risk is worth-while. Never the less, 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 minimized.

Service User Plan

Having assessed your needs and the risks in the situation, we then prepare a plan for the care we expect to deliver. This is called the Service User Care and Support Plan because you as the service user really are central to it. It will specify the services we will provide, with details like timings of care worker 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.

Re-assessing 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. So, 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. If you do have a care manager or social worker, they will often conduct reviews of your needs. We may be invited to these meetings to contribute information that will help them to assess your needs as wholly as possible.

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