“Councils should work with individuals to explore their presenting needs and identify what outcomes they would like to be able to achieve….” (2) Paragraph 68: “Given the necessity of prioritising needs for social care, fair and transparent allocation of available resources depends upon effective assessment. Decisions as to who gets local authority support should be made after an assessment, which should be centred on the person’s aspirations and support needs, involving both the person seeking support and their carers …..” (3) Paragraph 79: “From their very first contact with the council, an individual seeking support should be given as much information as possible about the assessment process. As part of the self-directed support process, assessment should be carried out as a collaborative process, in a way that is both transparent and understandable for the person seeking support so that they are able to: • Gain a better understanding of the purpose of assessment and its implications for their situation; • Actively participate in the process; • …. • Understand the basis on which decisions are reached.” (4) Paragraph 81: “Councils have a duty under the Community Care assessment Directions 2004 to consult the person being assessed (and their carers where appropriate); to take all reasonable steps to reach agreement with the person about the kind of support to be provided; and inform the person about the amount of the payment (if any) which they will be required to contribute …..” (5) Paragraph 119: “If an individual is eligible for help then the council should work with that individual to develop a plan for their care and support …..” (6) Paragraph 121: “Councils should agree a written record of the support plan with the individual which should include the following: • A note of the eligible needs identified during assessment; • Agreed outcomes and how support will be organised to meet those outcomes; • …. • A review date.” • A note of the eligible needs identified during assessment; • Agreed outcomes and how support will be organised to meet those outcomes; • …. • A review date.” (7) Paragraphs 141 to 143: “141. As individual needs are likely to change over time, councils should therefore ensure that arrangements are put in place for regular reviews of support plans. The projected timing of the review should be established with the service user, and their carer(s) where appropriate, at the outset….. “142. Like initial assessments, reviews should be focused on outcomes rather than services. In particular, reviews should: • Establish whether the outcomes identified in the support plan are being met through current arrangements; • Consider whether the needs and circumstances of the service user and/or their carer(s) have changed; • …. • Help determine the service user’s continued eligibility for support. “A written record of the results of these considerations should be kept and shared with the service user.” “143. Councils should record the results of reviews with reference to these objectives. For those service users who remain eligible councils should update the support plan…..” • Establish whether the outcomes identified in the support plan are being met through current arrangements; • Consider whether the needs and circumstances of the service user and/or their carer(s) have changed; • …. • Help determine the service user’s continued eligibility for support. (8) Paragraph 151: “For those service users who remain eligible, councils should update the support plan with the agreement of the service user and any other relevant parties …..”
“A final college review was concluded on6 June 2014 …. O was leaving Linkage College in July 2014. I attended at the review, together with O, his parents and the tutors from Linkage College. After three years at college, the review indicated that OH had made tremendous improvement and he was ready to use those skills in the community. “During the6 June 2014 review meeting O’s parents raised concerns regarding the 6 hours of support being provided per week during the school holiday. They stated that the current care package would not sustain O’s independence once he moves back to Bexley during the summer school holiday. We therefore agreed with O’s parents to meet them on10 June 2014 so that we could discuss the current care support and how to progress with the proposed supported living arrangement. “Unfortunately it was not possible to meet Mr. and Mrs. H. on10 June 2014 as agreed. Instead we met on15 July 2014 where we discussed the increase of the care support. I was aware that O’s parents had met with my line managers, Ms. Rohleder and Ms. Solvey the week before on8 July 2014 . O was not present at that meeting. We confirmed what had been agreed on the 8th, namely that O would receive four days of support per week. This took into account that O’s mother was working four days a week.”
“Mrs. H. asked about support for the summer holidays as O has been assessed as requiring 6 hours a week and this is not adequate. Samwell said if this was not adequate he did not see any reason why it could not be increased. O will be re-assessed so a support package can be arranged.”
“Interim Support “Mrs. H. asked what support is being provided from Monday,21st August 2014 ? Samwel [the social worker in charge of the case] asked if the current care package has any money left, Mrs. H. said yes. O receives 6 hours per week. Mrs. H. works 4 days and therefore the support needed would be 24 hours over the 4 days. “O will receive hours in lieu of 4 days day care. The hours in lieu of day care do not equal day the centre hours [sic: this must mean “do not equal the day centre hours]. Commissioning to discuss the breakdown/money to how many hours, with Mr. and Mrs. H. “Mrs. H. asked why commissioning were not invited to this meeting? “Mrs. H. said that she was told by Karen Rohleder and Bernice Solvey that a PA would be starting next week. Samwel explained that getting a PA takes time and that interim support will need to be put in place first. O will need to meet with any potential PA’s to see if everyone can work together and that it is O’s choice as to which PA he chooses. “Mr. H. asked when the interim support would be put in place? Samwel informed Mrs. H. that he will need to speak to commissioning first. “Mrs. H. asked how many hours can she use and will all the hours be reimbursed? What does 4 days mean in hours? Samwel again stated that he will liaise with commissioning to contact to explain…..”
“Thanks for attending the meeting. “As agreed the minutes of the meeting will be sent to you once completed. And below is the summary of the issues that we discussed. “Interim Support “The current support is 6 hours a week which is paid through independent Budget. “4 days of day care through Independent Budget. “Commissioning to give you a call regarding the breakdown of hours. “To meet with the Reablement team and discuss the PA options.”
“I am writing to confirm that Commissioning have agreed additional 18 hours which makes it a total of 24 hours a week (guarding hours while you are at work). “This will be an interim support while waiting for the Reablement Team to conclude their assessment.”
“O’s parents believed that the previous reviews, and the final review from linkage College, were not a true reflection of O’s assessed needs. The family requested an increased level of care support to support O while at home during the summer period. The Defendant offered a care package of 24 hours a week as an interim measure to facilitate a reablement assessment to be carried out. The 24 hours a week was the level of support that Mrs. H. had requested and we were able to agree that pending the reablement assessment…..”
“Please find enclosed a copy of your completed Support Plan. “You are taking the Individual Budget for 19 hours of Support @£12.35 per hour =£234.65 x 7 weeks =£1642.55 (Budget is from04/08/2014 -21/09/2014 ). “You have chosen to use essential Social Care as your provider and understand that you will have to top up Bexley’s Budget to have them. “Bexley will Audit the Bank Account in 3 months you will need to keep all invoices from your provider along with Bank statements, no cash transactions allowed. “I will contact you within three months for your first review.”
“Our clients inform that O currently receives 24 hours of support per week via an Independent Budget. This is designed as an interim support measure until they identify whether he is able to transfer his skills that he has learned over the past three years at Linkage College into his everyday life. “The final report received from his college indicates that OH is very independent, able to manage his finances, can access the community independently and that he is able to work/stay on task unsupervised. However, we are instructed that this report has been disputed by the family who state that it is not a true reflection. Our clients have therefore commissioned Bexley Council’s Reablement team to begin working with O.”
“I am afraid the reablement team will not be going ahead as planned as there has been some almighty cock-up within Bexley Council regarding O’s college placement. We were informed on Friday afternoon that they had no idea he was intending on going to college. The times that were planned are inappropriate to his schedule so until he starts college this cannot take place ….”
“Thank you for your response. I have spoken to Samwel and Karen regarding holding off the Reablement programme. We felt that it should go ahead as the programme focuses on developing O’s skills and establishing his routine within his home environment. “I appreciate that his college course has not yet been confirmed therefore we could amend the Reablement package in accordance to his current routine.”
“On21 September 2014 the interim care package ended and the Defendant reverted back to the previously agreed care level of 4 days of day care through an independent budget as recorded in the updated support plan as it appears now…”
“As you are aware, Mrs. H. agreed to go ahead with the Reablement after it was initially put on hold at her request, in order for her to deal with issues relating to O’s education course. I therefore met with O, Mrs. H and staff from Bluebird care agency on wed 24th Sep to agree the careplan and confirm a start date. At the meeting Mrs. H. informed me that she had received a letter from Bexley council confirming funding for the course at North West Kent but not funding for the full cost of the transport. She added that she was intending to appeal the decision regarding transport therefore O couldn’t start college until the matter is resolved. “As O’s support hours were stopped on the 21st Sep, Mrs. H reported that without the non-Reablement support hours he would have no other regular activities/clubs/hobbies to fill his day. She added that O is only left home alone for approximately 30mins at a time therefore the Reablement programme (which consists of 4x am visits and 1x teatime visit) would leave a gap that needs to be filled with other things for O to do. “I therefore suggested to hold off the programme once again until I discuss the matter with you as Samwel is on leave.”
“As College and transport have not been sorted, I am requesting again about more support?? I would like more funds to be transferred into the account so I can pay the provider for this month coming. Even though the support was only up to 21st September, I have continued with support because college and transport have not yet been sorted yet (re my email yesterday). “I would like clarification from yourself that O will continue to receive support, continue using the balance left over and to have more funds paid into the account.” 33. That same day, Mr. Nyabuya replied “…. O’s support has been validated to two days of day care through IB”
“…. Regarding issues around support, O has no college at the moment so two days a week of day care is insufficient to the support O is currently receiving from Essential Care. I again request that further funds are paid into O’s account.”
“Current Situation “Mrs. H. updated the meeting that O is bored and sleeps until 1pm as he has nothing to occupy him throughout the day. OH had previously started working with Age UK, however gave this up as got bored with cleaning tables. O was under the impression he would be carrying out admin work. “O does receive help from a support worker, consisting of two different workers from the Essential Care Agency. O has a good relationship with them, and goes on outings i.e. bowling. …. “Finances “Mrs. H. informed the meeting that O receives the lower DLA [Disability Living Allowance] rate. Direct payment was paid as a lump sum consisting of£2148.98 , this has now finished. Mrs. H. stated that a letter was received from Bexley on the 1st August regarding finances, however payment was not processed until the5th September 2014 , and Mrs. H. has been [chasing] the Brokerage Team for this money which has since been paid. “Mrs H. explained to the meeting that£74 which was being paid for the original six hours towards care should have stopped. Mrs. H. confirmed that Bexley pays£12.35 per hour towards support worker however the service charges£13.80 per. This is topped up by the family.” …. “Reablement Services “Karen explained to the meeting that Bexley offer a reablement service. This is to identify the needs of a client looking at what tasks a client can carry out, rather than what a client cannot do. It determines what level of support a client may need and used as a basis to move forward. This can be carried out in clients own home. Mr. and Mrs. H. were in agreement of this service, however concerns regarding hours when Mrs. H. at work – Karen to make further investigations. “Services offered • College Placement has been recommended at Bexley College – Similar course to the one offered at North West Kent college, however Mrs. H. declined as the course was not the same and feels O should have choice. • Day Centre Placement – Mrs H. stated she did not feel this was not suitable for O [the second “not” must, in my judgment, be an error] Action plan “ • Check finances with Brokerage Team regarding continuation in increased hours and when payment will be made to account – Karen to send confirmation email to Mrs H. after today’s meeting • …. • Reablement Package – Karen to liaise with Emma Parker regarding reablement package/hours and how soon this could start, supporting hours when Mrs. H. is at work – Confirmation letter to be sent to Mr. and Mrs. H…..” • College Placement has been recommended at Bexley College – Similar course to the one offered at North West Kent college, however Mrs. H. declined as the course was not the same and feels O should have choice. • Day Centre Placement – Mrs H. stated she did not feel this was not suitable for O [the second “not” must, in my judgment, be an error] • Check finances with Brokerage Team regarding continuation in increased hours and when payment will be made to account – Karen to send confirmation email to Mrs H. after today’s meeting • …. • Reablement Package – Karen to liaise with Emma Parker regarding reablement package/hours and how soon this could start, supporting hours when Mrs. H. is at work – Confirmation letter to be sent to Mr. and Mrs. H…..”
“With reference to your email to Samwel below, can we now arrange a meeting to agree the Reablement plan and start date?” (2) 26th October: Mrs. H. to Ms. Rohleder of the Defendant: “The action plan that was drawn up by yourselves following on from the meeting on the 10th October, we are still awaiting any form of response from you regarding progress. Notably when new funds will be paid into O’s account and how reablement will fit into the support package. “We have continued to use Essential Care as you stated quite clearly that the support package will continue, as above we need additional funds paid ASAP. “Please communicate clearly with your colleagues Mr. Nyabuya and Emma Parker to stop emailing us until you complete the tasks assigned to yourself in your action plan. Any updates should come directly from you to stop all the confusion this is causing. “Please respond by close of business Tuesday 28th October as we need funds to plan OH’s support schedule for next week.” (3)27th October 2014 : Mr. Nyabuya to Mr. and Mrs. H: “Karen Rohleder is on leave until Wednesday30th October 2014 . “I can also confirm that O IB of 4 days of day care is being progressed and the payment will be backdated.” (4)27th October 2014 : Mrs. H. to Mr. Nyabuya: “Karen clearly stated the current care package would continue, this is 24 hours per week approx.£296.00 . In your email you have stated O’s Individual Budget is 4 days of day care are we talking the same amount of money?” (5)28th October 2014 : Mr. Nyabuya to Mr. and Mrs. H: “The 24 hours per week was a one off package that was agreed until the 21st of September 2014. The current agreed and ongoing package is 4 days of care through Independent Budget. “The breakdown is as follows: “£28.81 x 4 days =£115.24 per week and this brings to the total of£460.96 per month. “This payment will be back dated as from the22nd September 2014 ; “I have also been informed by Brokerage that there will be a delay in processing the funds due to the installation of a new IT programme.”
“The care package provision reconsidered in October 2014, and currently being provided to O, is 4 days of day care provided via an Individual Budget. Service users can choose to access day care centres in Bexley, or they can opt for an individual budget which is what has been agreed by O and his family. This provision has been backdated to22nd September 2014 .”
“Ground 1 – failure to review O and supply a revised support plan, contrary to the statutory guidance. “The Defendant clearly accepts that OH is still eligible for community care services since it has reduced, rather than withdrawn, his care budget. In the case of individuals whose needs (in the opinion of a local authority) change, paragraph 143 of the statutory guidance requires an amended support plan to be produced. No such plan has been produced and provided to O. The Defendant has unlawfully failed to comply with the statutory guidance. “Ground 2 – failure to give reasons for the reduction in care, contrary to the statutory guidance. “Paragraph 143 of the statutory guidance requires that where, on review, needs are found to no longer be eligible, reasons should be given. To the extent that the Defendant has now determined that some of O’s needs are no longer eligible for a service, it should have given reasons for that decision. It has not done so, contrary to the statutory guidance. “Furthermore, there is no evidence of any ‘review’ process at all, which could have led to a decision to alter his support plan. Defendant had said that it hoped to see what the 24 hours per week could do to promote O’s independence ….. where the Defendant envisaged undertaking a re-assessment of O …. The Defendant could only ‘identify’ if there has been a change in O’s needs by undertaking an assessment. It has not done so. There should therefore be no change in his support provision. “Ground 3 – failure to take all reasonable steps to reach agreement as to O’s care, contrary to the 2004 Directions. “The Defendant has completely failed to attempt to reach agreement, with O and his parents, as to the care O will receive. The Defendant has unilaterally reduced O’s care with no adequate consultation. The Defendant has not taken ‘all reasonable steps’ to reach agreement as to O’s care provision and has therefore acted unlawfully, contrary to the 2004 Directions.”
“a. An order quashing the Defendant’s decision (taken on a date unknown but communicated in an e mail dated27 October 2014 ) to reduce his care provision below 24 hours per week; “b. A mandatory order requiring the Defendant to re-assess his community care needs; “c. A mandatory order requiring the Defendant to maintain the provision of 24 hours of care each week to the Claimant pending the completion of a further assessment of his community care needs.”
“The claim is unarguable: The 24 hours per week care package was provided as an interim care package. After the interim care package ended on21 September 2014 , the Defendant provided a care package of 4 days of day care per week to meet the Claimant’s needs as set out in his care plan. This care package was implemented in order that the Claimant’s mother could work four days per week. The Claimant chose to receive this through an Individual Budget.”
“a. The Claimant was appropriately assessed and reviewed at all times, and a revised support plan was provided to the Claimant’s parents on or around6 August 2014 . “b. Far from reducing the Claimant’s care package, the Defendant increased the Claimant’s care package from 6 hours support per week (equating to£18.52 ) to 4 days of day care per week (equating to£115.00 ). An interim care package of 24 hours per week was agreed and implemented from4 August 2014 to21 September 2014 for the purposes of facilitating a re-ablement assessment. “c. The Defendant took reasonable steps to reach agreement as to O’s care including by way of regular face-to-face meetings, emails and telephone calls.”
“The Defendant contends that the Claimant’s claim is based on a mischaracterisation of the facts. The Claimant’s baseline care package was 4 days of day care per week (£115 ) throughout the relevant period. For a limited time (from4 August 2014 to21 September 2014 ), the Defendant agreed to provide additional support equating to 24 hours of care per week (£296 ) on an interim basis only. Thereafter, the interim package of support ended and the Claimant reverted to his baseline care package of 4 days of day care per week (£115 ).”