“Where it appears to a local authority that any person for whom they may provide or arrange for the provision of community care services may be in need of any such services, the authority- a) shall carry out an assessment of his need for these services; and b) having regard to the results of the assessment, shall then decide whether his needs call for the provision by them of any such services.”
“A local authority may, with the approval of the Secretary of State, and to such extent as he may direct in relation to persons ordinarily resident in the area of the local authority shall make arrangements for promoting the welfare of persons to whom this section applies, that is to say persons aged 18 or over who are blind, deaf or dumb, or who suffer from mental disorder of any description and other persons aged 18 or over who are substantially and permanently handicapped by illness, injury or congenital deformity or such other disabilities as may be prescribed by the Minister.”
“Without prejudice to the generality of the provisions of Subsection (1) of this section, arrangements may be made there under- a) for informing persons to whom arrangements under that subsection relate of the services available for them there under; b) for giving such persons instructions in their own homes or elsewhere and methods of overcoming the effects of their disabilities; c) for providing workshops where such persons may be engaged (whether under a contract of service or otherwise) in suitable work, and hostels where persons engaged in workshops, and other persons to whom arrangements under Subsection 1 of this section relate and for whom work or training is being provided and pursuant to theDisabled Persons (Employment) Act 1944 or theEmployment and Training Act 1973 may live; d) for providing persons to whom arrangements under Subsection 1 of this section relate with suitable work (whether under a contract of service or otherwise) in their own homes or elsewhere; e) for helping such persons in disposing of the produce of their work; f) for providing such persons with the recreational facilities in their own homes or elsewhere; or g) for compiling and maintaining classified registers of the persons to whom arrangements under subsection 1 of this section relate.” a) for informing persons to whom arrangements under that subsection relate of the services available for them there under; b) for giving such persons instructions in their own homes or elsewhere and methods of overcoming the effects of their disabilities; c) for providing workshops where such persons may be engaged (whether under a contract of service or otherwise) in suitable work, and hostels where persons engaged in workshops, and other persons to whom arrangements under Subsection 1 of this section relate and for whom work or training is being provided and pursuant to theDisabled Persons (Employment) Act 1944 or theEmployment and Training Act 1973 may live; d) for providing persons to whom arrangements under Subsection 1 of this section relate with suitable work (whether under a contract of service or otherwise) in their own homes or elsewhere; e) for helping such persons in disposing of the produce of their work; f) for providing such persons with the recreational facilities in their own homes or elsewhere; or g) for compiling and maintaining classified registers of the persons to whom arrangements under subsection 1 of this section relate.”
“2(1) The Secretary of State hereby approves the making by local authorities of arrangements under section 29(1) of the Act for all persons to whom that subsection that applies and direct local authorities to make arrangements under section 29(1) of the Act in relation to persons who are ordinarily resident in that area for all or any of the following purposes; a) to provide a social work service and such advice and support as may be needed for people in their own homes or elsewhere; b) to provide, whether at centres or elsewhere, facilities for social rehabilitation and adjustment to disability including assistance and overcoming limitations of mobility or communication; and c) to provide, whether at centres or elsewhere, facilities for occupational, social, cultural and recreational activities and, where appropriate, the making of payments to persons for work undertaken by them.” a) to provide a social work service and such advice and support as may be needed for people in their own homes or elsewhere; b) to provide, whether at centres or elsewhere, facilities for social rehabilitation and adjustment to disability including assistance and overcoming limitations of mobility or communication; and c) to provide, whether at centres or elsewhere, facilities for occupational, social, cultural and recreational activities and, where appropriate, the making of payments to persons for work undertaken by them.”
“It is Miss Richards’ first submission that in order to comply with the statutory duties, both personal and ‘target’, and to demonstrate that regard has been had to other relevant matters, the local authority must prepare a care plan which addresses the issues required by law and, where it deviates from the target, explains in legally acceptable terms why it is doing so. Mr McCarthy responds by pointing out first of all that nowhere in the legislation is a care plan, by that or any other name, required. This Miss Richards accepts, but she contends, in my judgment rightly, that she is entitled to look to the care plan (which is commended in the statutory policy guidance) as the best available evidence of whether and how the local authority has addressed Jonathan’s case in the light of its statutory obligations. If, of course, further evidential material bears on this question, it too is admissible in relation to the challenge before the court. In other words, as I think Mr McCarthy accepts, his submission that a care plan is nothing more than a clerical record of what has been decided and what is planned, far from marginalising the care plan, places it at the centre of any scrutiny of the local authority’s due discharge of its functions. As paragraph 3.24 of the policy guidance indicates, a care plan is the means by which the local authority assembles the relevant information and applies it to the statutory end, and hence affords good evidence to any inquirer of the due discharge of its statutory duties.”
“A fundamental aspect of this guidance is for individual councils to make only one eligibility decision with respect to adults seeking social care support; that is, whether they are eligible for help or not. This decision should be made following an assessment of an individual’s presenting needs. Councils should not operate eligibility criteria for specific types of assessment; rather, the scale and depth of the assessment should be proportionate to the individual’s presenting needs and circumstances. Neither should councils operate eligibility criteria for different services to meet eligible needs. The most appropriate and cost-effective help should be determined by matching services to eligible needs through the use of statements of purpose.” “Interpretation” “In this guidance the issues and problems that are identified when individuals contact, or are referred to, councils seeking social care support are defined as “presenting needs”
“General principles of assessment “Appropriate assessment lies at the heart of effective service delivery for a whole range of health and social care provision. Its purpose is to identify and evaluate an individual’s presenting needs and how they constrain or support his/her capacity to live a full and independent life. Councils should ensure that individuals are active partners in the assessment of their needs. … With reference tosection 47(1) of the NHS and Community Care Act 1990 , before starting a community care assessment councils should first ascertain whether a person appears to be in need of community care services. In exercising this judgement councils set a low threshold, and avoid screening individuals out of the assessment process before sufficient information is known about them. In addition, reference should be made to the relevant policy and practice guidance for assessment and care planning for particular groups: … . Whichever assessment framework is used, councils should not operate eligibility criteria to determine the complexity of the assessment offered; rather the depth and breadth of the assessment should be proportionate to individuals’ presenting needs and circumstances. Based on their judgment, professionals may wish to carry out initial assessments, or assessments to take stock of wider needs, or specialist assessments of particular needs, or comprehensive assessment across all potential needs. In many cases, combinations of these assessment types may be used. … In addition to social care problems, where appropriate, assessment should take account of health and other problems such as housing, but at the same time aim to be as simple and timely as possible. Councils should recognise that individuals are the experts on their own situation and encourage a partnership approach to assessment. … In responding to the individual’s account of his/her presenting needs, professionals should explore the intensity of particular needs including the physical pain, distress or disruption they cause, and the instability and predictability of problems, both on a day-to-day basis and over longer periods of time. … As presenting needs are fully described and explored, the individual and professional should consider and evaluate the risks to the independence that result from the needs both in the immediate and longer term. This evaluation should take full account of how needs and risks might change over time and the likely outcome if help were not to be provided. The evaluation of risks should focus on the following aspects that are central to an individual’s independence: Autonomy and freedom to make choices. Health and safety including freedom from harm, abuse and neglect, and taking wider issues of housing and community safety into account. The ability to manage personal and other daily routines. Involvement in family and wider community life, including leisure, hobbies, unpaid and paid work, learning, and volunteering… . Determining eligibility in respect of individuals Eligibility for an individual is determined following assessment. As part of the assessment, information about an individual’s presenting needs and related circumstances is established, and should be recorded. This information is then evaluated against the risks to his/her autonomy, … Care planning If an individual is eligible for help then, together with the individual, councils should develop a care plan. The written record of the care plan should include as a minimum: A note of the needs and associated risks. The preferred outcomes of service provision. Contingency plans to manage emergency changes. Details of services to be provided, and any charges the individual is assessed to pay, or if direct payments have been agreed. Contributions which carers and others are willing and able to make. A review date… . Reviews From7 April 2003 , councils should begin to review the circumstances of all individuals in receipt of social care services, provided or commissioned by the council or purchased with direct payments. …”
“The Secretary of State may, with the consent of the Treasury, pay grants to local authorities in England towards expenditure incurred by them in providing, or contributing to the provision of, such welfare services as may be determined by the Secretary of State. ”
“1) This Grant Determination is made by the Secretary of State for Communities and Local Government (“the Secretary of State”) undersection 93 of the Local Government Act 2000 (“section 93”) for the purpose of paying grant (“Supporting People programme grant”) to local authorities towards their expenditure in providing, or contributing to the provision of, such welfare services as may be determined by the Secretary of State. 2) This Grant Determination – a) determines the welfare services in respect of which these grants are paid; b) determines the amount of grants and the manner of their payment to those local authorities; c) specifies the local authorities to which the grants are paid; and d) determines the terms and conditions on which these grants are paid to local authorities… . Welfare services in respect of which grant may be paid 6) Pursuant to section 93(1), the Secretary of State hereby determines that grant is to be paid towards eligible expenditure by an Administering Authority in providing, or in contributing to the provision of, welfare services described in condition 2… 9) Pursuant to section 93(5) and (6), the Secretary of State hereby determines as the conditions imposed on Administering Authorities in respect of the payment of the grant the conditions set out in Annex B.”
“ “Condition 2… 1(1) Subject to paragraphs 2 to 6 below, the categories referred to in condition 2 above are those mentioned in the following provisions of this paragraph. Housing-related support services (2) Support services which are provided to any person for the purposes of developing that person’s capacity to live independently in accommodation, or sustaining his capacity to do so, and in this Schedule such services are called “housing-related support services”
“As you can see from this information most of your clients have been assessed or reviewed within the past 12 months. Of course if any of your clients needs have changed, and they require a further assessment / review, please let this Department know how their needs have changed. Please forward this information to our Central Advice and Duty team (Cheshire Lines Building, Canning Street, Birkenhead, CH41 1ND; tel 606 2006), and an assessment / review will be arranged through our normal procedures. If any of your clients require additional, specific advocacy for the complaints procedure then they can contact the Independent Complaints Advocacy Service (ICAS). I enclose information on this service, who will provide advocacy within this area of social care, for you to share with your clients. This letter constitutes the response at Stage 1 of our complaints procedure.”
“I am aware that you have, on behalf of your clients, complained to the department of adult social services (DASS) regarding your clients Community Care Assessments or lack thereof and that these complaints were being addressed within the Local Authority’s published complaints procedure. As you are no doubt aware judicial review is a remedy of last resort and that parties should only have recourse to the judicial review process when all other avenues of dispute resolution have been exhausted. There are three stages to the local Authority’s complaint process but despite this and without even waiting for a response from stage 1 of the process you have drawn up pre action letters for judicial review on behalf of your respective clients. This action is clearly outside of the protocol. In addition you have sought to abridge the protocol period for responding to pre action letters and have asked for responses by 4pm on Friday10th October 2008 ; whilst it is accepted that there is provision within the CPR to do this, it should only be done in exceptional circumstances; please identify what these exceptional circumstances are, by 4pm on Thursday the9th October 2008 , failing which the Local Authority will respond within the normal protocol time scales.”
“5. The Defendant’s response to the matter being challenged. 5.1 WMBC denies that it has failed to comply with its legal duty under theNational Health Service and Community Care Act 1990 (NHSCCA). 5.2 An assessment of [GB] was undertaken by the Department of Adult Social Services. The completed assessment document is dated11th October 2007 . [GB] has approved the assessment document and signed it himself. A copy of the assessment document and care plan is enclosed for your information. 5.3 As the assessment did not identify any unmet FACS eligible needs [GB’s] case was closed to the care management team. However, if the Claimant has identified a change in needs since his assessment was undertaken then a referral should be made to the Central Advice and Duty Team (CADT) on Tel: 606 2006 whereupon a social worker will be allocated to undertake a review of this assessment. 6. Response to the issue raised. 6.1 WMBC denies that it has failed to comply with its legal duty under NHSCCA 1990, Sc 47(1). An assessment of [GB] has in fact been undertaken by WMBC and a copy provided, as identified in 5.2 above. 6.2 WMBC accepts that a letter of complaint was forwarded to the Quality Assurance Unit on the 10th and15th September 2008 on behalf of [GB]. This complaint was dealt with at stage 1 of WMBC’s three stage complaints process. 6.3 A response to the complaint was provided by way of letter dated the 1st of October 2008, within WMBC’s published time scales for responding to complaints. A copy of the letter of response is enclosed. 6.4 The letter of response identified 6.4.1 That the assessment had been undertaken. 6.4.2 That the reviews had been undertaken where appropriate. 6.4.3 That some complainants had no unmet FACS eligible needs and so were not subject to review. 6.4.4 Invited either the complainant or the complainant’s representative to report any change of circumstances or unmet needs to the Central Advice and Duty Team for a review assessment. 6.5 The Claimant has not requested that his complaint progress to Stage 2 of the Complaints process. 6.6 The Claimant has not contacted the Central Advice and Duty Team to report a change in circumstances or an unmet need. 6.7 Pre-action letters for Judicial Review were produced before receipt of the Defendant’s response to the complaint made. 6.8 The complaint made was only at stage one of a three stage process. 6.9 The Defendant states that Judicial Review should be treated as a remedy of last resort and that Judicial Review is not the appropriate arena for discussing the assessment process. In support of this assertion the Defendant would wish to refer the Claimant to the following cases. …”
“There were a number of letters sent pre-action which canvassed the issues that are now pursued in these proceedings. It is not clear from the Deputy Judge’s observations in what way the issues raised pre-action are not fairly reflected in the Grounds. The adequacy of the assessments is a matter for judicial review because of the fundamental errors of law that are apparent (see attached schedule). Where judicial review is not appropriate is where there is argument on the detail of the assessment. That is not this case. It is submitted that this is a clear case for judicial review.”
“1(b) …[The] purported assessment dated…fails to identify his “presenting needs”…There is therefore no evaluation of his presenting needs against the risk that they present to his independence etc. as required by the FACS Guidance [42]…As a consequence of this failure the needs set out in the care plan are superficial and do not address the extent or nature of [X’s] needs as required by the FACs Guidance at [42] & [47]… “1(c) Given that there has been no identification of [X’s] eligible needs, his care plan is inevitably inadequate. There is moreover no contingency plan as required by the FACs Guidance para [47] The complaint about the absence of a contingency plan was met in paragraph 19 of the Summary Grounds of Defence and no further written or oral argument was addressed on the point. 1(e) [In F’s case] SIL receives no payment for the social care support which it provides to F.. [In J’s case] No funding is provided to SIL in respect of the “substantial support” which it provides… [In S’s case] WMBC does not fund the additional support being provided to S since the loss of Supporting People funding. [In R’s case] R needs 1:1 support. WMBC pays£529.35 per week for this…Their assessment does not set out how this figure is arrived at. It appears to be arbitrary in that it is not based on any detailed assessment of need. It is therefore unclear whether WMBC are providing funding in respect of the level of support provided by SIL to R, as required by him.”
“(1) Whether the Defendant has failed to carry out community care assessments with respect to some all of them [i.e. the Claimants], either at all, or on an (at least) annual basis; (2) Whether in cases where the Defendant has carried out community care assessments with respect to (a number of the Claimants, it has done so unlawfully, in that the assessments in question fail to comply with the requirements of the statutory guidance contained in …FACS…”
“Whether Lawful Even in Those Cases Where Carried Out”
“It is against that background that the Court needs to address the purported performance of the defendant that is complained of. What they did, and not just a pro forma statement. This breaks down into the following headings: (a) Is it an excuse to say that a given case, which otherwise qualifies, falls within a box marked “Supporting People”? How a given case is funded is not a matter for any given claimant, but rather a matter internal to the defendant. Therefore, the fact (if it is a fact) that the funding ought to be coming out of “Supporting People” (and hence ultimately from central government monies) is irrelevant. It remains the duty of the Defendant to pay for the support. (b) Is it an excuse to say that a given case, which otherwise qualifies, should not be funded by the Defendant because the support is being provided by SIL? The answer is, plainly not. (c) Although the Defendant claims to have done a number of assessments, this of itself does not prove they were FACS compliant not (sic) does the say-so of the Defendant. Thus in several cases it is plain from the assessment forms themselves that the mental health and mental capacity of the claimant was simply not addressed. (d) Likewise, in some cases the assessment does not address the consequence of the claimant of withdrawing existing support (contrary to paragraph 40 of FACS). (e) And finally, even if everything is complied according to the Defendant’s own criteria (and irrespective of what those may be), there is a failure to fund.”
“Critical – for people with the most severe or urgent needs – for example, where there is immediate risk of significant impairment to health or major harm/danger to yourself or others, or major risk to independence now or in the next few days. Substantial – for people whose needs are serious, but not critical – for example, where there is the risk to independence now or within three months. ”
“i) LAC (2002) 13 (“the FACS Guidance) provides… that significant health problems give rise to “critical needs”, i.e. not substantial, moderate or low needs… ii) The Defendant’s … policy (attached I.e. the website extract. ) provides that “risk of significant impairment to health” gives rise to “substantial” needs. iii) This is unlawful for the reasons given by Collins J in Heffernan”
“The assessment care plans What the Council has done and failed to do is criticised as a breach of statute, as a failure to abide by the undertakings given to the court and as a failure to abide by various other alleged promises to Ms L and her relatives. … … Similarly, there are complaints as to the amount of detail in the assessment and care plans. It is said that they are too vague and do not sufficiently spell out precisely what Ms L’s needs are and what the Council proposes should be done about them. For instance, complaint is made that the care plan does not address in sufficient detail what will be done in relation to holidays or transport or should the applicant vomit during the night. Although the plan envisages that persons will be awake and available at night to deal with such matters, it does not spell out how Ms L is to contact such persons. It is said Ms L needs to have various activities arranged for her and that, although the plan lists such activities as being intended to be provided, it does not identify on which day of the week they will be provided, how often they will be provided and so on. It is said that the amount of consultation with Ms L and her family and advisers was inadequate. In legal terms this is said to amount to a failure by the Council to abide by guidance given by the Secretary of State.”
“It seems to us however that, leaving aside for the moment any undertakings o the Court, the Court is not the appropriate organ to be prescriptive as to the degree of detail which should go into a care plan or as to the amount of consultation to be carried out with Ms L’s advisers. In practice these are matters for the Council, and if necessary its complaints procedure. If the Council has failed to follow the Secretary of State’s guidance and is arguably in breach of its statutory duties in relation to the way it carries out its assessment and what it puts into its care plans then aggrieved persons should in appropriate cases turn first to the Secretary of State. Where there is room for differences of judgment the Secretary of State and his advisers may have a useful input. The Court is here as a last resort where there is illegality. Here there is not ….”
“Stage 2 is engaged when stage 1 fails to resolve the issue, or the complainant feels that no use would be served in attempting such a problem-solving approach…”