Residential Respite Services for Adults with Learning Disabilities

FOR THE PURCHASE OF
The provision of Service(s) is:
Residential Respite Services for
Adults with Learning Disabilities
Dated: 1st Day Of April 2010
21/10/09 2301
SERVICE SPECIFICATION
1Residential Respite Service Specification
Adult, Health & Community Services
Strategic Commissioning Division

1. Operational Service Specification
1.1 Overview and
outcomes of the service:
To provide short stay residential care to adults with a
learning disability aged 18 years and over, on an overnight
basis, that supports them to achieve positive outcomes in
all aspects of their life. Short stay residential care may also
be required for young people in transition from children to
adult services.
1.2 Need for the service:
The service is required for adults with a learning disability,
aged 18 years and over, where an assessment of their
support needs has identified that they require residential
respite care. The service may also be required for young
people in transition from children to adult services.
1.3 Relevant
documentation:
The service needs to operate in line with the following
national and local policies and strategies:
• Valuing People Now 2009
• National Dementia Strategy 2009
• Valuing Employment Now 2009
• ‘Real Lives’ - Joint Commissioning Strategy for Adults
with a Learning Disability 2008-2011
• Mental Capacity Act Deprivation of Liberty Appointment
of Relevant Person’s Representative Regulations 2008
• Putting People First 2007
• Mental Capacity Act Deprivation of Liberty Safeguards
2007
• Independent Mental Capacity Act 2007
• Single Equality Scheme 2007
• Our Health, Our Care, Our Say 2006
• Infection in Residential and Nursing Homes 2006.
• Improving the Life Chances of Disabled People 2005
• Disability Discrimination Act 2005
• Protection of Vulnerable Adults 2004
• National Minimum Standards for Care Homes for
Adults (18–65) and Supplementary Standards for Care
Homes Accommodating Young People Aged 16 and 17
2003
• Valuing People 2001
• National Care Standards Commission Regulations 2001
• Care Homes for Older People (65+) National Minimum
Standards Care Homes Regulations 2001
• Human Rights Act 1998
This list is not exhaustive.
The service needs to support the delivery of Public Service
Agreement 16 for socially excluded adults
21/10/09 2301 2Residential Respite Service Specification

1.4 Service principles and
standards:
All adults with a learning disability are people first with the
right to lead their lives like any others, with the same
opportunities and responsibilities, and to be treated with the
same dignity and respect. They and their families and carer’s
are entitled to the same aspirations and life chances as other
citizens. The service will be delivered in a manner that
supports this and promotes people’s rights, autonomy and
independence and enables them to make choices and
have control.
People’s uniqueness in respect of gender, sexual
orientation, age, ability, race, religion, culture and lifestyle
will be acknowledged and respected.
Service delivery must be underpinned by the principles of
the personalization agenda e.g. person centered planning,
assessment, care management and review.
The service provider must work in partnership with service
users, carers and other people involved in the individuals
formal and informal networks.
The service provider must be registered with the Care
Quality Commission for the provision of residential care.
The service provider must operate in line with all relevant
policies and procedures as detailed in section 1.3 of this
specification.
1.5 Service users:
Adults with a learning disability, aged 18 years and over,
who have been assessed as FACS eligible for services.
Support may also be required for young people in transition
from children to adult services.
Service users may include:
• People with more complex needs
• People from black and minority ethnic groups and newly
arrived communities;
• People with autistic spectrum conditions; and
• People with Mental health needs,
• People with physical disability which severely affect
their ability to be independent.
• People with sensory impairments which severely affect
their ability to be independent.
• People with behaviour that can challenge services.

1.6 Access to the service:
Service users will be referred by authorized practitioners of
Adult Health and Community Services Learning Disability
Team or Warwickshire’s Integrated Disability Team. The
person making the referral will supply the service provider
with a copy of the person’s most recent social care
assessment and support plan.
Short stay residential care (respite), may be purchased by
individuals using their Individual Budget, either through a
virtual budget, direct payment or Individual Service Fund.
The service provider is responsible for operating an
effective booking system for their service that provides
ongoing management information on service use,
occupancy levels, equality of access and cost (including
itemised billing). The service provider will be required to
work in partnership with the local authority to support the
development of an electronic booking system for respite
breaks.
1.7Service activity:
The service will be provided in Warwickshire and/or within
a neighbouring local authority area.
The service will be provided 24 hours a day, 7 days a week
and 365 days a year. Packages of care will be delivered to
meet individual needs and will be person centred.

1.8 Contract Monitoring
Service providers will be subject to the following
performance monitoring processes:
• WCC Local Commissioning will monitor individual
outcomes in relation to this service specification with
service providers and WCC contract monitoring staff will
carry out regular desktop monitoring.
• A 6 monthly self assessment monitoring return should
be completed. Failure to comply will result in the
following actions. 1) If a return is not made you will
receive a letter for failure to comply. 2) A visit from the
contract monitoring team. 3) A final letter of non-
compliance and funding will be reviewed.
• Completion of an annual value for money self
assessment to review performance, quality and the
financial position of the service.
Specific arrangements for performance monitoring will be
made with each service provider. The range and volume of
monitoring and data collection will directly relate to the level
of service activity.
A range of performance monitoring methods may be used
including:
 Face to face meeting
 Provision of qualitative and quantitative data through
self reporting.
 Customer surveys
 Interviews / discussions with customers
 Interviews / discussions with staff
 Interviews / discussions with other stakeholders
 Inspection of records and organizational documentation
 Individual customer reviews.
All providers will be expected to have their own quality
assurance processes in place. Internal quality assurance
processes and the council’s performance monitoring
processes will be focused on continuous improvement.
The authority reserves the right to use external evaluators
as part of the performance monitoring process.

2. High Level Service Outcome
HIGH LEVEL SERVICE OUTCOME
The high service outcome is based on the Valuing People Now documentation
ensuring that individuals’ legal and civil rights, are exercised and maximum
independence, choice and inclusion are realized. The service will enable people, no
matter how complex their needs, to live life equally as citizens in their local
communities alongside their fellow citizens. The service will enable people to get real
choice and control and appropriate support that they need to live their life as
independently as they are able to.
3. Detailed Service Outcomes
3.1 Service Outcomes are outlined below in respect of the 7 Key areas of
Our Health, Our Care, Our Say:
• Exercising Choice and Control
• Improved Health and Emotional Wellbeing
• Personal Dignity and Respect
• Quality of Life
• Freedom from Discrimination and Harassment
• Making a Positive Contribution
• Economic Wellbeing
Outcomes Indicative Performance Measures
Exercising Choice and Control
I am supported to be involved in
choosing the people who support me on
a planned basis.
% of interviews in which customers have a
formal role. % of customers who have voiced
individual staffing choices.
Individual stories and experience demonstrated
through Illustrative audio, visual or written
accounts/stories.
I know and am confident in the people
who support me on a planned basis.
% people satisfied in survey in this area. Data
relating to staff turnover, supervision, training,
and disciplinaries is collected and available.
Number of complaints in this area.
I am supported to change the
support/care I get when I need and
choose to.
% people whose support has changed in volume
and /or design.
accounts/stories.
I am supported to make choices about
the way my service is delivered.
% people supported who have made choices
about the way their service is delivered.
accounts/stories.
I am supported to express my views and
opinions and ask questions.
% people satisfied in survey in this area.

accounts/stories.
I am supported to have access to
information in order to make fully
informed choices.
% of people supported with information packs.
% of people with a contract with support
provider. Individual stories and experience
demonstrated through Illustrative audio, visual or
written accounts/stories. Service user guide for
residential care home.
I am entitled to my rights and services
which must be delivered in accordance
with my expressed wishes and
preferences.
% people supported whose preferences are
recognised in service delivery.
accounts/stories.
I am central to all decisions about my
life.
% people supported with person centered plan
(PCP). % people with a person centered
approach. Individual stories and experience
written accounts/stories.
I am supported to access aids and
adaptations, including Telecare and
personal aids to mobility, which help me
to be more independent and in control of
my life.
% people supported with this equipment. %
people supported to maintain equipment in good
working order.
accounts/stories.
I have the right to make my own
decisions, even if they conflict with
professional and others views. My
capacity to make each decision will be
taken into account.
% people supported with person centered plan
(PCP). % people with a person centered
approach. % people supported whose PCP is
regularly reviewed. % people satisfied in survey
in this area. Individual stories and experience
I am supported to self manage
medicines and other therapies as much
as possible.
% people supported to self manage medication.
% people supported with active plans to
increase involvement. % people supported who
have become self managing. Individual stories
and experience demonstrated through
Illustrative audio, visual or written
accounts/stories.
I know how to complain, am listened to
when I do and action is taken. I know
where I can get support to make a
complaint.
% people given accessible information on the
complaints procedures. % people making
complaints. Number of complaints, actions and
resolutions.
I have the right to retain my chosen
lifestyle.
% people supported who are satisfied that they
exercise their lifestyle choices. Individual stories
accounts/stories.
I am supported to access advocacy
services.
% people provided with information about
access to advocacy services. Individual stories
accounts/stories.

Improved Health and Well Being
I am supported to be as healthy as I can
and choose to be.
% people supported in activities which are
intended to maintain and develop health and
fitness. % people with a balanced diet.
accounts/stories.
I am supported to be as independent as
I can be.
% people supported who have been actively
encouraged to achieve independence in any
aspect of their life. Individual stories and
experience demonstrated through Illustrative
audio, visual or written accounts/stories.
I am encouraged to maintain, and where
possible to improve, my physical
abilities.
% people who are active. Individual stories and
I am supported to get advice, support,
information and appropriate treatment
regarding my emotional well being,
physical and mental health and to stay
active.
% people supported who are participating in
activities relating to health and well being.
% people encouraged and where necessary
assisted to have annual sight and hearing
checks and six monthly dental checks.
% people supported whose health has
improved. Individual stories and experience
I am supported to attend routine and
emergency health appointments.
% people supported to attend routine medical
appointments. % people supported to attend
emergency medical appointments. Individual
stories and experience demonstrated through
accounts/stories.
I am supported to make decisions
regarding my health i.e. need for a good
diet and regular exercise.
% people supported who have made such
decisions. Individual stories and experience
I am supported with rehabilitation and
reablement to promote my
independence, health and well-being.
Number of people in receipt of activities
prescribed following multi-disciplinary
assessment or involvement of specialist health
staff (e.g. physiotherapists) in hospital or the
community.
I am given information about the
benefits of healthy eating and a healthy
lifestyle.
% people provided with information to enable
them to make decisions that promote their
health. Individual stories and experience
I am involved in food preparation. % people involved in menu planning and
cooking. Individual stories and experience
I am provided with three healthy and
nutritious meals a day and I have
unlimited access to hot and cold drinks
in line with my preferences (two meals a
% people satisfied in a survey in this area. %
people with a balanced diet. % people involved
in menu planning and cooking. Individual stories

day if I am attending day opportunities). Illustrative audio, visual or written
accounts/stories.
I am able to choose how I look and am
involved doing as much as I can for
myself.
% people supported with areas of personal care.
% people supported who develop new skills in
this area. Individual stories and experience
I am supported to be socially active with
others and participate in social
interactions if I choose to do so.
% people supported to be active in their
communities. % people supported who develop
new relationships. % people supported who
have active friendships external to formal
support. % people supported who have active
family relationships. Individual stories and
I am appropriately supported in an
emergency situation.
% people supported in emergency situations.
% of customers who have emergency card.
accounts/stories.
My family members are respected and
valued and their contributions are
welcomed.
% carers satisfied in a survey in this area.
accounts/stories.
My family members are involved and
are consulted in regards to the quality of
care I receive, as appropriate.
accounts/stories.
I am supported to choose my GP and
have the right to request a visit by them
when I need it.
accounts/stories.
Personal Dignity and Respect
I am able to exercise my legal and
human rights.
% people who have exercised a right e.g. written
a will, made an advanced directive. Individual
accounts/stories.
I am treated in line with the Human
Rights Act and, amongst other things,
have a right to:
• freedom and security
• no punishment without law
• respect for private and family life
• freedom of thought, religion and
belief
• freedom of expression,
• freedom of assembly and
association
• marry,
• to equal treatment and no
accounts/stories.

discrimination
• protection of property
• go to college.
I am able to express my concerns if I am
unhappy.
% people supported to raise concerns, number
of concerns, actions and resolutions.
accounts/stories.
I am confident that I can trust the
service provider and individual staff to
respect and maintain my personal
confidentiality and privacy at all times.
accounts/stories.
I am involved and my views are listened
to and taken into account in all aspects
of my life.
% people supported in making informed choices
about what they want. Illustrative examples of
seeking feedback and responding to it.
accounts/stories.
I am shown respect, consideration and
understanding by staff and other adults
with a learning disability using the
service.
Number of compatibility assessments
undertaken.
I am communicated with in a way that
makes me feel comfortable.
% people supported to communicate in
preferred ways that meet the needs of
individuals. Individual stories and experience
My communication style and
preferences are respected and known to
those who support me.
% people supported to communicate in
preferred ways that meet the needs of
individuals. Individual stories and experience
I am respected by visitors with regards
to my home and my possessions and I
am supported to maintain the
cleanliness and order of my
surroundings.
accounts/stories.
I have privacy when I need it and I am
treated with dignity.
% people supported to be on their own when
they wish to. % people satisfied in survey in this
area with the way they are treated. Individual
accounts/stories.
I am supported to maintain my spiritual
needs and practice my religious and
cultural preferences and this is
respected.
% people supported to practice their religion. %
people satisfied in survey in this area with the
way they are treated. Individual stories and
audio, visual or written accounts/stories
Quality of Life
I stay in an environment that is homely
and comfortable where I have personal
space to express myself.
% people involved in decoration of the home
and their room. Assessment of the
environmental conditions of the home.

accounts/stories
I stay in a home that has designated
spaces for eating, social activities and
private areas and I have access to them
all.
% people satisfied in a survey in this area.
accounts/stories
I have exclusive access to one bedroom
for the duration of my stay.
% people satisfied in a survey in this area.
accounts/stories
I am able to welcome visitors to my
home when it suits me.
% people who have visitors to their home.
accounts/stories
I am supported to understand and
manage risks to myself and others.
% people supported to self manage risks.
% people supported with written risk
assessment. Individual stories and experience
I am supported to maintain my home
environment and I am involved in daily
living tasks e.g. shopping, domestic
chores, cooking.
% people supported to engage in daily living
tasks. % people supported who have learnt new
skills in relation to daily living. Individual stories
accounts/stories.
I am able to access safe, legal and
appropriate transport to enable me to
participate in a range of activities during
my stay.
% people with access to an appropriate vehicle.
accounts/stories.
I am supported to get out and about and
to use public transport safely.
% people supported to use public transport to
access their community. Individual stories and
I am supported to develop and maintain
a plan of what I want to do.
% people with a support plan that is person
centered. % people with an outcome based
support plan. % people with a Person Centered
Plan and Care Planning Review. Individual
accounts/stories.
I participate in activities of my choice in
the daytime that I enjoy and promote
positive outcomes for me.
% people accessing person centred day
opportunities. Individual stories and experience
I am given opportunities to take part in
new activities and to have new
experiences.
% people engaging in activities within the home
and community. Individual stories and
Freedom from Discrimination and Harassment
I am treated equally and fairly as any % people feeling valued and respected.

other member of the community. Individual stories and experience demonstrated
accounts/stories.
I am safeguarded from abuse, self
harm, maltreatment, neglect, bullying,
accident, injury, death, discrimination,
crime and anti social behaviour.
% people supported to feel comfortable and
equal as others. Number of safeguarding
referrals and investigation. Individual stories
accounts/stories.
I am supported to report a crime or hate
crime if I am a victim of it.
% people reporting a crime to the police. %
people reporting a hate crime to the police.
I am safe and secure during my stay
and protected from exploitation.
% people supported who feel safe and secure
Number of incidents in which people are subject
to harm. % people satisfaction survey in this
area.
I am treated fairly as an individual taking
full account of my abilities, special
needs, disability, age, religion, racial
origin, sexual orientation, culture and
language.
% people supported in having “rights” and
“opportunities” exercised. Number of related
complaints and outcomes. Data relating to
customers age, gender, ethnicity, disability,
sexual orientation, language is collected.
I have equality of access to services. % people satisfied in a survey in this area. No
of related complaints and outcomes.
Making a Positive Contribution
I am supported to use community based
services for my leisure and cultural
needs that are also used by non-
disabled people.
% people supported in activities which are in
community based services. Individual stories
accounts/stories.
I am supported to take part in decisions
which affect my life in my community.
% people supported to engage in community life
as active members. Individual stories and
I am supported to join local activities
and events in my community.
% people supported to engage in local events
and description of social events. Individual
accounts/stories.
Economic Wellbeing
I am supported in a paid work
environment in line with my wants and
needs.
% people in paid work. Individual stories and
I am supported to do voluntary work if I
choose to do so.
% people involved in voluntary work. Individual
accounts/stories.
I am supported to have access to ICT
technology and be able to expand my
skills further if I wish to do so.
% people supported to use a computer. %
people with ICT training. Individual stories and
I am supported to access my full benefit
entitlement
% people supported to get information or seek
assistance in benefit entitlement. Individual

accounts/stories.
I am supported to manage my finances
and make choices about how I spend
my money.
% people satisfied in a survey in this area. %
people supported to self manage their finances.
% people supported with active plans to
increase financial skills and involvement.
accounts/stories.
I am supported to learn new things
through Adult Education and life long
learning.
% people supported to engage in
education/learning. % people who have
achieved a recognized qualification.
accounts/stories.
I am supported and have accessible
information on aspects of employment
i.e. providers access the employment
market and job centers,
% people supported through to employment.
accounts/stories.
Potential Indicators and Sources of Evidence
Care Quality Commission registration and inspection report
Recruitment Programmes
Support Plan
Review Records
Customer Feedback
Annual service evaluations by customers/carers
Complaints Records
Person Centered Plans
Assessment and feedback from others
Employment Contract
Information packs
Health action plan
Training course
Certificates
Access to specialist advisors e.g. Job Clubs and day services
Job clubs
Risk Assessment
Staff Data and Records

4. Service Requirements
4.1 Service Registration
4.1.1 The Service Provider must be registered with the Care Quality
Commission (CQC) prior to the commencement of services and must
comply with all registration and inspection requirements and requests
of CQC.
4.1.2 The Council can ask the CQC to provide information on the registration
and inspection of the service provider.
4.1.3 The Service Provider must comply with the National Minimum
Standards for Care Homes for Adults (18–65) and Supplementary
Standards for Care Homes Accommodating Young People Aged 16
and 17 2003 and Care Homes for Older People (65+) National
Minimum Standards Care Homes Regulations 2001
4.1.4 The Service Provider must provide a statement of purpose in
accordance with paragraph 1 (1) (c ) of the National Care Standards
Commission Regulations 2001.
4.2 Service Management
4.2.1 The Service Provider will be responsible for the operation of the
service, management and training of staff and monitoring and
evaluation of the service.
4.2.2 The Manager of the Home will be a registered CQC manager. They
will have a formal management qualification and experience of working
in a residential care setting at a senior level.
4.2.3 The Registered Manager of the Home will ensure that all contractual
requirements are met and continuity of service for service users is
maintained at all times.
4.2.4 In line with CQC minimum standards there will be:
• Waking staff support from 7am to 10am and 3pm – 11pm Monday
to Friday.
• No core staff cover from 10am – 3pm Monday to Friday, excluding
bank holidays, due to the likelihood that service users are accessing
other opportunities during these times. However, service users may
choose to purchase additional hours during these times and they
would need to be available if purchased.
• Waking staff support from 7am to 11pm on weekends and bank
holidays.
• Sleep in staff support between 11pm and 7am 365 days a year.
4.2.5 In compliance with regulations and the requirements of this
specification the Registered Manager has the authority to determine
whether a placement is acceptable to the provider. Preference should

be given to individuals resident in Warwickshire and individuals referred
from Warwickshire County Council.
4.2.6 Each service user will have a key worker within the service who
maintains oversight of their care. They will be responsible for
promoting positive outcomes for individuals in line with this
specification, linking with the family and ensuring that the care plan is
met.
4.2.7 The Service Provider shall keep accurate records in respect of each
service user in relation to all aspects of the service they receive. The
format of this record will be in line with CQC requirements. These
records may be inspected at any time by designated officers of the
Council.
4.2.8 As appropriate to the needs of service users, the Service Provider will
ensure that the house is equipped with lifting and handling equipment
and other aids to mobility to ensure the safety of the service users and
staff employed in the home.
4.2.9 The service provider will ensure that a robust approach to cleaning is in
operation at the home, which facilitates a safe and clean environment.
Providers should deliver the service in line with the Department of
Health publication ‘Infection in Residential and Nursing Homes 2006’.
4.3 Recruitment, Employment and Staff Training
4.3.1 The Service Provider will ensure the recruitment and employment of a
sufficient number of staff to ensure and maintain service delivery to
individuals of a quality consistent with this service specification. At a
minimum, staffing levels must meet CQC minimum standards.
4.3.2 Staff will have appropriate competence, experience and qualifications
to ensure and maintain service delivery to individuals of a quality
consistent with this service specification. All support staff must be
qualified or expected to register for courses with Learning Disability
Qualifications as prescribed by Skills for Care or may have a LDAF
qualification and be working towards registering for courses with
Learning Disability Qualifications. There will be an appropriate number
of care staff qualified to at least NVQ2 level or equivalent.
4.3.3 Staff should be prepared for the tasks that they undertake by induction
training and ongoing training linked to the standards of the service
provider.
4.3.4 The Service Provider shall ensure that the ongoing training needs of
the employee(s) are identified through the supervision process and a
suitable training programme is provided to meet these needs.
4.3.5 Staff will conduct themselves appropriately at all times. They must not:
• Smoke in the presence of service users.
• Take any other person including children to the home.
• Take any pets in their charge into the home.

• Accept gifts, gratitude’s or bequests or act as executor in respect of
service users wills.
• Remove any items from service user’s accommodation.
4.4. Policies and Procedures
4.4.1 The Service Provider will ensure that there are written polices and
procedures to clarify the organizations standards and these will be
publicly available and produced in appropriate formats. These must
conform to relevant legislation and standards as outlined in 1.3 of this
specification (as applicable).
4.4.2 The service provider will ensure that written policies and procedures
are in place, and in an accessible format, in relation to:
• Service user guide and contract
• Statement of purpose
• Code of conduct of the organisation
• Equal opportunities
• Staff selection and recruitment
• Induction and training
• Disciplinary procedures (to include a system for dealing with
potential conflicts of interest)
• Complaints procedures
• Quality assurance
• Moving and handling
• Confidentiality and Information Sharing (to comply with all
legislative requirements in respect of confidentiality, data protection
and information sharing)
• Medical care (to include support to access full range of primary and
secondary care services, administration of medication, pain
management and managing hospital admissions or medical
emergencies that respond to the service failures identified in the Six
Lives Ombudsmen’s report)
• Management of infection and disease
• Use of protective clothing
• Maintenance of records in the home
• Acceptance of gifts and bequests
• Handling of service users monies (must include process for income
collection, handling money and managing appointeeships)
• Dealing with violence and aggression
• Managing cancellations
• Holding service users keys
• Health and safety
• Breakages and damages
• Protection of Vulnerable Adults (must include communication with
agencies and carers)
• Adult abuse
• Risk taking
• Sexuality and personal relationships

• Transport Policy
This list is not exhaustive.
4.5 Key information and Reporting Significant Events
4.5.1 In the event of:
• Abuse
• Inability of the service provider to perform any aspect of the service
• Hospital admission
• Home closure
• A temporary move
• Lost or missing service user
• Serious illness/injury
• Death
These will be reported to AHCS Contract Monitoring Team immediately
by email to contractmonitoringteam@warwickshire.gov.uk.
4.5.2 Safeguarding issues, which include financial or physical abuse or
Deprivation of Liberty (DOLS) will be reported to AHCS Safeguarding
Team.
4.5.3 In the event of a major incident where the ongoing delivery of care to
individuals may be interrupted, the provider will notify the Council
immediately and follow up in writing to the Contract Monitoring Team
within 48 hours. Major incidents include:
• Fire
• Flood
• Disruption to power, heat and lighting
• Infection outbreak
• Major staffing disruptions
• Any loss of money or property
• Any circumstance where the individual is in need of medical
attention but refuses to seek medical help.
4.5.4 The Service Provider must maintain records of complaints including:
• The nature of the complaint
• The name and address of the service user
• The name and address of the complainant, where different
• The date and time when the complaint was received
• Details of the outcome including time and date of resolution of the
complaint
• Details of any action taken to prevent any future occurrence
• The names of the service providers supervisory and other
employees involved in the action complained of and of its outcome
4.5.5 The Service Provider will notify AHCS Contract Monitoring Team by
email should the Registered Manager leave with details of interim
arrangements (for reporting appointment of new manager).

4.6 Changes in Need
4.6.1 The Service Provider will ensure there are agreed procedures in place
to inform AHCS about changes in the needs of service users and
carer’s which might affect the appropriateness of the care package.
4..6.2 Any significant deterioration in the service user’s health and welfare
must be reported immediately to AHCS Learning Disability Team.
4.6.3 The Learning Disability Team must be informed immediately of the
service user or carer’s wish to terminate services.
4.7 Service User Assessment, Care Management and Review
4.7.1 The Service Provider will draw up an accessible, outcome based
support plan with each individual prior to the service commencing. This
should be shared with the individual and with their carer and allocated
worker as appropriate.
4.7.2 At a minimum, the plan will clearly detail desired outcomes for the
individual, how the service will support individuals to achieve these
outcomes, risk assessment, manual handling and restraint agreements
as appropriate, the timescale for achievement and the regular review
arrangements.
4.7.3 The Service Provider will work with AHCS to undertake and support
service user assessments and reviews, in line with statutory
timescales, with a view to ensuring that individuals are in the most
appropriate setting to meet their needs.
4.7.4 The Service Provider will work closely with AHCS to facilitate the
recommendations of assessments and reviews, including moving to
more appropriate accommodation.
4.7.5 The Service Provider will maintain and evidence a Customer Feedback
process that will be used to develop and improve the service to meet
the changing needs of the people who use the service.
4.8. Book and Go
4.8.1 Warwickshire County Council is the only authority within our region to
receive funding from the Department of Health, up to 31st
March 2011,
to be a demonstrator site for the “Breaks for Carers” programme. This
funding is to develop a “Book & Go” system which will offer carers and
customers a web-based portal through which to book break services
including residential respite.
4.8.2 The Council’s aspiration is to make support services, in particular
breaks for carers, more accessible to all carers including self funders,
through a web based portal. This will enable carers to “Book & Go” a
range of breaks and services using individual budgets and /or their own
resources giving carers real choice and control in the way they use
services.

4.8.3 The Service Provider will work in partnership with WCC’s “Book & Go”
project team, working towards the development and successful
implementation of a web based booking system.

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