The document discusses adult social care in Sheffield. It provides definitions of adult social care and outlines its goals of promoting well-being, independence, and control over one's care. It summarizes feedback from service users and carers, finding low satisfaction levels. It acknowledges financial challenges but sees opportunities through partnerships. The priorities are outlined as developing a clear vision, strong values, thinking locally, and improving specific areas like hospital discharge and a directory of community services and support providers. Voice recordings from Sheffield residents share both positive and negative experiences with adult social care services.

1. Adult Social Care in Sheffield
independent, safe and well
Phil Holmes
Director of Adult Services
Sheffield City Council

2. What is adult social care?
“Care and support for adults who need extra
help to manage their lives and be independent
– including older people, people with a disability
or long-term illness, people with mental health
problems and carers”
Social Care Jargon Buster, TLAP

3. What should adult social care be trying
to achieve?
Well, according to the Care Act 2014:
• Clearer, fairer care and support
• Wellbeing – physical, mental and emotional –
of the person needing care and their carer
• Prevention and delay of the need for care and
support
• People in control of their care

4. What good looks like
I have quality of life, which means:
• Control over my life
• The social contact I need
• Easy access to information
• Good quality care and support
(Adult Social Care Outcomes Framework)

5. How are we doing in Sheffield?
Let’s be honest: not well compared to others
• Low satisfaction from recipients of social care
• Very low satisfaction from carers
• Low satisfaction from staff themselves
• Key areas where outcomes need to improve
 Employment for adults of working age
 Outcomes once people leave hospital

6. My quality of life

7. My carer’s quality of life

8. What are our prospects?
• Significant financial challenges but not the
poorest on the block
• Big opportunities from partnership
– Within the Council
– With local NHS and community organisations
– With Sheffield’s brilliant people
• So lots of potential to do better

9. Where do we start?
• By listening to you and working alongside you
• By keeping things simple:
 A clear vision that includes everyone
 Strong values and professional standards
 Thinking local, acting personal
• By making progress on areas of importance:
 Sheffield Directory

10. Sheffield Directory

11. • Voluntary and community organisations, and
health, care and support providers
• Events and activities
• Improved functionality
• Self service
• Equipment store
Sheffield Directory

12. • Voluntary and community organisations, and
care and support providers
• Events and activities
• Adults and Children and Families services
• Improved functionality
• Equipment store
Sheffield Directory

13. Sheffield Directory
• Supporting information/advice
• CQC ratings
• Ratings and Reviews
• Take a look: Heather Baxendale

14. Voice recordings
Sheffield people talking about their
experience of adult social care
These recordings are transcribed here

15. “My mum has Alzheimer’s, and her
care was recently reassessed.
I thought the process was very
long and my mum was confused by
the whole thing.
She couldn’t answer any of the
questions and after two hours
was exhausted....”

16. “... she was also sent a leaflet
about Community Access and
Re-enablement.
This is for people over 60 to
re-learn to look after themselves.
This is dreadful and doesn’t take
into account her situation.”

17. “My carers come to put me to
bed far too early but it can be
any time between 7.45 pm and
11.00 pm. Sometimes I am not
helped out of bed till 1.30 pm.
I can be in bed for more than 15
hours at least once a week, and
on weekends and bank holidays
it’s worse...”

18. “...I don’t know who’s coming,
and I frequently have to
explain what I need and how I
like it provided. This is
exhausting and slows my
recovery. I want a consistent
and professional service, at a
regular time to suit my life.”

19. “My partner and I are carers for
my mother in law, who’s in her
90’s. She’s lived with us for a
few years now. At the moment
she’s in hospital as she’s had a
fall, but we can’t carry on
looking after her...”

20. “...We don’t want to put her in a
home but we need extra help.
We’ve never had any help, and
the hospital hasn’t told us we
can have any. We know there
must be something out there to
help us but we don’t know what
it is and we don’t know where to
go.”

21. “My mum has carers who come
and take her out once a week.
She is really happy with them
and they feel just like a part of
the family. She really enjoys
her time with them...”

22. “...Before we used this company
we never had any family holidays
because we didn’t want to leave
mum for long times without a
familiar face. But now we do go
away, because we know that she
will be well looked after and gets
good care.”

23. Extracts from A Day in the Life of
a person receiving home care...
21.45 pm. Here they come now, I
feel like “Hello, I’m here” in the
next second they both say
“sorry, not ignoring you, just
doing handover”...

24. ...I must say I don’t like that part
of pausing my film to check my
pad, I was really into it. She
comes and goes with buckets,
products and clothes. It distracts
me from my film, specially the
noisy shower.

25. 1.50 am. Sleeping, I can hear
support staff saying things very
quietly. It’s nice to hear a voice,
to have that reassurance that I am
not alone.

26. 7.00 am. I do love this comfy
position, could sleep for hours. But
not today, early appointment, oh
no! Why so early? Can we please
cancel? I really do need to sleep a
bit more...

27. ...Meds already, I am not even fully
awake, no, I do not want to be put
in a better position for the meds, I
want this foetal, comfy and warm
position!

28. 7.45 am. And again the time comes,
I am trying to doze a bit, and I hear
“sorry, this is just the
handover......”