Self-Directed Support is a term that describes the ways in which individuals and families can have informed choice about the way support is provided to them. It includes a range of 4 funding options for exercising those choices. Services can be co-produced to enable people to have greater levels of control over how their support needs are met, and by whom.
Personalisation embodies notions of Self-Determination by people who use services rather than where individuals are passive recipients of care. It empowers users to make their own choices about when, how and from whom they receive support. This approach is common to most developed European states, where such services have often been implemented through allowing people to hold and spend their own budgets.
An indicative or individual budget is a clear, upfront amount of funding from the Local Authority which is made available for anyone who is eligible for social care support, to spend on the equipment and services which are needed in order to live more independently. It can be used to buy services from both the council and other providers, mixing and matching what’s available from different organisations.
A Direct Payment is a payment made by a local authority so that a service user can arrange and buy services themselves in order to meet their assessed community care needs or their need for children’s services. This Self-Directed care is one way of increasing the flexibility, choice, and control users have over the community care they receive, in order to help them live more independently. A Social Work department assesses an eligible person’s need for care services, and that person then has the option of becoming responsible for arranging some or all of the care that they need. Local authorities are obliged to offer direct payments as an alternative to arranging the services themselves, but the service user must only use them to meet their assessed care needs.
Individual Living Fund (ILF):
The ILF was dedicated to delivering financial support to disabled people and advancing standards of independent living. The ILF makes payments to disabled people to help them lead a more independent life but is now permanently closed to new applications.
In Control Scotland was set up in 2006 to transform the organisation of social care and support in Scotland so that people gain more control over their support and their lives, and fulfil their role as full citizens. Two founding agencies - ALTRUM and the Scottish Consortium for Learning Disability – have worked together to establish In Control in Scotland, and this good work was supported with the help of a grant from the Scottish Executive.
People who are eligible for publicly funded social care are given an upfront allocation of funding (an indicative budget) and they can decide how they will plan for and organise their support, to meet their own personal outcomes. Brokerage was established to promote individual choice and control and to successfully develop Self-Directed support for individuals.
Support brokerage is about making sure those people and their families who require extra assistance to plan and make choices about support can get it. A brokerage service is available at a cost, which will be met from the indicative budget, and prices vary.
In Scotland, this term relates to the ‘Adults with Incapacity (Scotland) Act, 2000’ By law, if an adult is unable to make a safe decision about his or her own welfare, a court can appoint someone else to make decisions for them. This person is known as a welfare guardian. The Act aims to protect and promote the welfare of adults with a mental illness, learning disability or other mental disorder, including dementia. Guardians can be partners, carers, relatives or social workers.
A guardianship order is an appointment by the court once an individual has lost capacity to make decisions, usually by mental or physical illness. A power of attorney is different from a Financial Guardianship order as it is signed before an individual becomes incapable.
A guardian has legal authority to make decisions over the long term on behalf of an individual in relation to the individual’s financial matters, property, personal welfare or a combination of these.
In Scotland Local Government is currently organised in 32 Local Authorities, providing local governance and services such as water and sewerage, roads, social work, police and education.
A Care Manager will be an employee of the Local Authority Social Work Dept or the Health Board, who is entrusted with the responsibility for working on behalf of a child or an adult with assessed needs. If you are receiving service at home, particularly if it is more than one type of service, you are likely to be assigned a Care Manager from the social services department. This may or may not be the same person who carried out your original assessment. The role of the Care Manager is to keep an overall eye on the services you are receiving (sometimes referred to as the ‘package’ of care services) and to ensure that they are operating smoothly and are still right for you. From time to time, the Care Manager will also arrange a formal review of the service arrangement.
All agencies (or Providers) that provide social care services in Scotland (whether belonging to the statutory, voluntary/charitable, or private/non charitable sectors) are required to have their services registered with the Care Inspectorate (SCSWIS), which is the organisation with responsibility for carrying out inspection visits, and to have members of their workforce professionally registered with the Scottish Social Services Council, or a comparable professional body.