The Joint Strategic Needs Assessment identifies that the population of Angus is growing older and that the population of Angus will continue to age for the next 20 years. It is anticipated that this change in population demographics will place a further increase in demand on services if they continue to be delivered in the same way. The Strategic Commissioning Plan 2019/22 aims to continue to address demographic change by changing the way that services are provided and to shift the balance from care to supporting more people at home. The focus of the Strategic Commissioning Plan 2019/22 is to support care needs at home by enhancing opportunities for technology enabled care; further progressing self-directed support; and delivering change in care at home services through the Help to Live at Home project.
1 in 55 Adults received Personal Care in 2019/20. A 6% increase over the previous year.
507, 465 hours of Personal Care was delivered in 2019/20. 14% more than the previous year.
92% of people spent their last months at home or in a community setting. Up from 91% the previous year.
Dundee Carers Centre are commissioned to provide support to people using option 1 (Direct payments)
Mr and Mrs R are a couple who live in Angus and had been getting informal support from a friend for a long time. Mrs R’s needs have recently increased, and Mr R has increasing health concerns meaning that he is unable to provide as much support as he has done previously.
Their Care Manager has suggested Option 1 for their situation as it would enable them to formalise the support they were getting without having to recruit a stranger. This was important for them as they did not want a team of people coming to their house and they wanted the support to be more personal. They were given a budget which included a carer’s budget so Mr R could get a break from his caring responsibilities using the same Personal Assistant that provided personal care for his wife. The advantages of taking this option were that they had a choice about who was providing the support and when they wanted them to come. There would also be flexibility if they changed arrangements at short notice as hours were agreed by themselves and the Personal Assistant.
The SDS advisor met with the couple to explain the benefits and responsibilities of taking on Option 1 (Direct Payments). The advisor assisted them to get the employment side of things set up, by helping with creating a Job Description and Contract of Employment.
The couple felt a bit overwhelmed with the amount of paperwork and processes to get through to get things set up initially, so things were broken down into smaller steps with regular home visits and they said this was beneficial for them. As they weren’t confident about the monitoring paperwork, the advisor suggested this could also be part of the Personal Assistant role. We met with the potential PA who was happy to support them with this as part of her role and she was also going to provide regular respite breaks for Mr R as well as assisting with all of Mrs R’s personal care needs.
Everything was set up apart from payroll, but we then entered lockdown due to Covid-19. Things were a bit tricky as our workforce moved to working from home and there was a delay with getting payroll set up. It was difficult to get Mrs R registered as an employer with HMRC as they had also changed their usual working arrangements.
To help reassure the couple, the SDS advisor kept in regular touch with them during this period and liaised with payroll until things were finally set up. The Personal Assistant needed to have interim payments made by the employer until payroll could be processed, but the SDS advisor supported them with this.
The next step will be supporting with financial monitoring and we will do this as soon as we are able to, either face to face or by post. In the meantime, they are keeping all relevant paperwork in preparation for this.
The couple told the advisor about the impact on their lives: “We now have more stability in our home and feel a lot more happy than before because we know that there is someone making sure that we are being looked after, we are both a lot more settled in our mental health as because a lot of worry regarding (what is going to happen to us) has been removed and we can actually start thinking of some type of future security and happiness.”