1. Case study 1.
Julie Jones phoned Adult Services regarding her neighbour, Jack Smith.
She is worried because Jack’s wife died several months ago, and when she’s seen Jack his clothes have
been grubby and he seems to be living on snacks. They were a traditional couple; Jack always kept the
garden tidy and his wife looked after the house. Jack and Jill had no children and she’s never seen any
friends calling. She thinks he’s quite isolated and in need of some support. She thinks he could do with
some meals on wheels and homecare.
A traditional care plan would be: homecare, meals on wheels, day care 1 day a week.
Jack agreed that Sam the social worker could come and assess his needs, but he told her straight out that
Julie had suggested these services before. His wife used them previously but he hated having strangers in
the house and a daycentre was not his idea of fun!
When Sam called, Jack had started filling in the SDQ. Jack was surprised that there were questions about
accessing work and learning and doing things in his community. Jack wrote on the form it wasn’t applicable
at his age, but when Sam challenged this he admitted that he did like to do practical things and being
useful but wasn’t sure where to start.
Indicative budget : £67.23 per week equivalent to £3,495.84 per annum
What things might Jack identify as his goals?
What services or activities might meet his needs?
Case study 2.
Brian Bailey has always been a fit and active man. His main pleasure has been playing golf which got him
out the house and allowed him to meet his friend Bill where they enjoyed a pint in the clubhouse after the
game. Brian developed a tumour on his spine and is now confined to a wheelchair. His bungalow has been
adapted and so he is able to use his chair around the house and can manage his daily routine and making a
meal for himself but has become low in mood since he can no longer drive or play golf. His neighbour has
been dropping off his shopping when she did her own, but she is moving to a new house in two weeks’
time. His GP has asked if someone can assess him for help with his shopping and refer him for day care.
A traditional package would be: home care for shopping, day care
When Sam assessed Brian, she could see how well he had adapted to managing round the house. It clearly
means a lot to him to be independent. Brian becomes depressed when he can’t manage to do what he
wants to do. Brian doesn’t want to go to a daycentre ‘full of old people’. He really misses what he used to
do.
Indicative budget : £56.02 per week equivalent to £2,913.20 per annum
What might Brian identify as his goals?
What services or activities might meet his needs?

3. Case Study 3.
Angela Ash has phoned about her daughter Andrea. Andrea has always been a popular young woman. She
likes fashion and used to work in a department store. When she wasn’t at work she enjoyed shopping,
eating out and drinking with her friends. She admitted to being a Facebook addict!
Angela was involved in a serious car crash 6 months ago. Andrea has now made as much progress as is
possible and has moved in with her mother. Andrea is very dependent and needs two carers to transfer her
in and out of bed and with toileting and feeding. Angela never gets any time to herself and she has heard
of a daycentre where Andrea might be able to go during the day to give her a break.
Traditional: Home care to assist Angela with getting Andrea up, washed and dressed, toileting. 4 x calls a
day. 3 days a week in day care and respite care 1 week in 6 to give Angela a break.
Sam visits Andrea and finds that she is fed up being at home. She hates being a burden on her elderly
mother and she can see she’s tired but she doesn’t like the idea of a ‘boring daycentre’ and respite would
be in an old people’s home which she would hate so she’s considered going for her mum’s benefit and to
get out the house.
Andrea misses doing a job and jokes that at least her brain is intact and she can still communicate with
others, although only verbally since losing the use of her arms and can no longer text or e-mail her friends.
Andrea likes to feel that her life could still have some purpose and has an idea that she might be able to
use her experiences to help others, but this would involve a lot of support. She is enthusiastic when she
hears that there is a budget available to help her access learning, being in the community and maintaining
her relationships with her friends, not just the ‘essentials of washing, dressing and feeding’.
Indicative budget : £212.89 per week equivalent to £11,070.16
What might Andrea identify as her goals?
What services or activities might meet her needs?