“A local authority shall, in the exercise of their social services functions, including the exercise of any discretion conferred by any relevant enactment, act under the general guidance of the Secretary of State.” 6. The Secretary of State has given guidance under this section in respect of charging policies for non-residential social services, to which I shall return (see paragraph 13 below). The obligation of an authority to “act under” guidance was described by Sedley LJ (as he then was) in R v Islington London Borough Council ex parte Rixon(1998) 1 CCLR 119 at page 123, as having the following effect: “In my judgment Parliament in enacting Section 7(1) did not intend local authorities to whom ministerial guidance was given to be free, having considered it, to take it or leave it. Such a construction would put this kind of statutory guidance on a par with the many forms of non-statutory guidance issued by departments of state…. Parliament by Section 7(1) has required local authorities to follow the path charted by the Secretary of State’s guidance, with liberty to deviate from it where the local authority judges on admissible grounds that there is good reason to do so, but with freedom to take a substantially different course.”
“(1) In assessing the needs of a person under Section 47(1) of the Act a local authority must comply with Paragraphs (2) to (4). (2) The local authority must consult the person, consider whether the person has any carers and, where they think it appropriate, consult those carers. (3) The local authority must take all reasonable steps to reach agreement with the person and, where they think it appropriate, any carers of that person, on the Community Care Services which they are considering providing to him to meet his needs. (4) The local authority must provide information to the person and, where they think it appropriate, any carers of that person, about the amount of the payment (if any) which the person will be liable to make in respect of the Community Care Services which they are considering providing to him.”
“Once needs have been assessed, the services to be provided or arranged and the objectives of any intervention should be agreed in the form of a care plan.” 12. And, at Paragraph 3.26: “Decisions on service provision should include clear agreement about what is going to be done, by whom and when, with clearly identified points of access to each of the relevant agencies for the service user, carers and for the care manager.”
“… 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 [1990] policy guidance indicates, a care plan is the means by which the local authority assembles relevant information and applies it to the statutory ends, and hence affords good evidence to any inquirer of the due discharge of its statutory duties. It cannot, however, be quashed as if it were a self-implementing document”
“It is not acceptable to make a charge on disability benefits without assessing the reasonableness of doing so for each user”
“Make a note if evidence is unavailable and ask the service user to provide it at the next review.”
“In all cases the Case Coordinator or Social Worker must be asked to confirm whether privately arranged care results from an assessed care need, and evidence of their agreement kept on file… If a friend/relative provides private care, the minimum wage can be used as a maximum benchmark to ensure the amount being paid to them is reasonable.”
“Holiday period up to 7 days. Maximum cost£500 per year”
“… [M]oney provided by the [Authority] is subject to financial assessment (very roughly people receiving benefits would not have to make a financial contribution). This is complex and Jean [Pippard, Commissioning and Partnership Officer, Department of Adult Social Care, Cornwall County Council (“DASC”)] will invite a person from the Domiciliary Care Charging Unit to attend the next meeting to explain how this works.”
“… gave an overview of the [DASC] Charging Policy. Individuals will be individually assessed if they are in receipt of funding from DASC, and benefits will be maximised where appropriate. Sue left her card with representatives at the meeting and welcomed direct contact from individuals if they wished any further discussion [of] any of the points raised.”
“So, while we realised that charging was something that happened to some people, for instance people who do not receive welfare benefits, there was never a suggestion that it could be a reality for [B]”
“[B] could not live his life safely and meaningfully without support throughout the day. At times he also needs someone to be awake during the night should his sleep be disturbed by his excitement.”
“It may be possible for him to consider activities which start later in the day. [B] is able to undertake activities which could be built upon such as housework, chopping wood and managing the recycling. A further assessment of skills and potential may be advantageous to [B]. Individual support to [B] is vital for him to achieve his full potential.”
“15. … [A]t the outset of our discussion, Sue Colliver had about three-quarters of the information that she seemed to need. As I recall, based on that information she told us that she had calculated that [B] should contribute£18.00 per week towards the cost of his care at [C]. [Mr B] and I did not want [B] to have to pay anything and we told Ms Colliver about other things that [B] spends his money on and which we thought she should include in the calculation, including holiday-related costs. This resulted in Sue Colliver re-calculating [B’s] contribution as£0 . During the meeting Sue Colliver filled in a form setting out the calculation. Before leaving our house, Ms Colliver gave us a copy of the completed form … 16. Until that meeting when Sue Colliver presented us with the financial assessment, [Mr B] and I had no idea that [B] would have to pay anything at all. At the end of the meeting, we understood that [B] would not have to pay anything. 17. So once again, after the meeting everything carried on as normal …”
“…..In the sample that Robin [Stephenson] and I have been through it highlighted that there was a lack of evidence to support some of the DREs and other DREs were also questionable. One of the main issues highlighted was should some of the items be treated as DRE or should they be part of the Care Plan…. ….Therefore due to the necessity of gaining evidence, decisions on what should be in the care plan and the potential negativity of this charge, it was proposed that there should be a transitional arrangement. This transitional arrangement would not only help the user but give DASC time to review and make decisions about what should be in the Care Plan and what should not…. Guidance to care managers explaining what should be part of the Care Plan and paid for by DASC would be decided upon by yourself and then passed on to Care Managers once completed….”
“You have recently been visited, or very soon will be, by a person from the [DASC]. This person will look at how much you will need to pay towards your support. Not long ago we met in Adult Social Care to think about how much money you may need to pay towards the cost of your support. You will not need to pay any money at all until October 2008. We will send you another letter at the end of July to explain how much you will have to pay and how this will work.”
“Following our letter of30 June 2008 , this letter is to explain about your contribution towards your care. As you may be aware, under the Government’s Fairer Charging policy, all users receiving care that comes under Adult Social Care’s responsibility are liable to contribute towards the costs of that care. How much an individual will need to pay, and whether they will have to pay anything at all, is determined by the [DASC], in accordance with Government Guidance. Individual Financial Assessments The amount each person contributes is calculated through an Individual Financial Assessment (IFA). An IFA is based on a user’s income including benefits minus [DRE]…. In assessing [DRE], the overall aim will be to allow for reasonable expenditure needed for independent living by the disabled person. Items where the user has little or no choice other than to incur the expenditure, in order to maintain independence of life, will normally be allowed. For the most part, assessment interviews, including assessments of [DRE], will be carried out at the user’s home. Your Individual Financial Assessment and interim charging arrangements from4th October 2008 Your IFA shows that your contribution will be£68.5 per week. This will remain in place until October 2009, unless your circumstances` significantly change. You may have received a previous assessment. This has been used in conjunction with other information and guidance to reach the amount of your contribution. A copy of the revised Financial Assessment, showing how this figure has been arrived at, will be sent within the next few weeks. During the year October 2008-October 2009 we will be reviewing both your Care Plan and actual costs submitted as evidence of [DRE]. Many of the figures that we have used in the current round of IFAs have been based on information provided, and it is hoped that during this year we will have evidence of actual bills, etc. For the Care Plan we will be talking to carers, advocates etc as to whether certain expenditure is necessary to the sustainability of the user’s independence. If so this will be entered into the Care Plan and staff carrying out IFAs will be able to use this information when deciding whether it is [DRE]. Introduction of the full charging regime from3rd October 2009 During the summer of 2009 there will be a review of the overall position in anticipation of the full contribution coming into force from3rd October 2009 . Your Care Provider will be asked to collect your contribution as this amount will be deducted from their payments. If you have any queries about this please contact your social worker in the first instance, or if it is specifically about how the contribution has been calculated please contact Marie Harvey on [telephone number].”
“A number of items could possibly be classed as DREs but no evidence was forthcoming. For example, the evidence could come from a Doctor or other medical practitioner or via the care Plan showing extra costs involved for home stay and why this is necessary for [B] to remain living in the community. Evidence is required not only to show there is a need, but also to prove that money has been spent on the relevant item or service. The following table gives the reasons for not treating the expenditures listed above as DRE. Item/Service Reason for not treating as DRE Home stay This would not normally be considered to be a DRE unless there was specific evidence around the necessity. No evidence has been seen as yet. Carpet cleaning Not normally treated as a cost related to disability, but as an everyday expense. Window cleaner As above Beach hut As above. Reflexology As above. However, evidence from a GP or medical practitioner might change this to a DRE. No evidence has been seen as yet. Swimming As above. No evidence seen as yet. Aromatherapy As above. No evidence has been seen as yet. Holiday The cost of a holiday is not a DRE but the cost of a carer/s could be considered as a DRE if there was evidence of need in the care Plan. No evidence has been seen as yet.”
“As you will see from our [DRE] guidance, holidays and trips out are not specifically mentioned. This is because the Department does not consider either as essential expenditure needed for independent living and is treated as a discretionary purchase.”