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Fin Find out more online:
www.worcestershire.gov.uk/adultsocialcare
Adult Social CareJargon busterEasy Read Version
A - Z
Contents
Page What’s on this page?
8 Abuse and Neglect
8 Adult Social Care
8 Adult Safeguarding
8 Advocacy
9 Aids and Adaptations
9 Assessment
9 Assistive Technology (Telecare)
9 Benefits
10 Best Interests Decision
10 Care Act 2014
10 Care and Support Needs
11 Care Home
11 Care Plan
11 Care and Treatment Review (CTR)
11 Carers
2
Contents
Page What’s on this page?
11 Care Worker
12 CCG (Clinical Commissioning Group)
12 Contributing Towards Care and Support
12 Commissioner
12 Community Health Services
13 Continuing Health Care
13 CPA (Care Programme Approach)
13 CQC (Care Quality Commission)
13 DBS (Disclosure and Barring Service)
14 Deferred Payments
14 Direct Payments
14 DoLS (Deprivation of Liberty Safeguards)
14 Domiciliary Care
15 Eligibility Criteria
15 Extra Care
3
Contents
Page What’s on this page?
15 Financial Assessment
15 Funded Nursing Care
16 Hate Crime
16 Health and Wellbeing Board
16 Healthwatch
16 Independent Living
17 Independent Mental Capacity Advocate (IMCA)
17 Integrated Packages of Care (Joint Packages)
17 Liberty Protection Safeguards (LPS)
17 Making Safeguarding Personal (MSP)
18 MAPPA (Multi Agency Public Protection
Arrangements)
18 MARAC (Multi Agency Risk Assessment
Conference)
18 MASH (Multi Agency Safeguarding Hub)
18 MATE Crime
19 Mental Capacity
4
Contents
Page What’s on this page?
19 Neighbourhood Teams (Primary Care Teams)
19 Nursing Care
19 Occupational Therapist (OT)
20 Ordinary Residence
20 Outcomes
20 PALS (Patient Advice and Liaison Service)
20 Personal Assistant
21 Personal Budget
21 Personalisation
21 PREVENT
21 Preventative Services
22 Primary Care
22 Protection of Property
22 Public Interest
22 Reablement
5
Contents
Page What’s on this page?
23 Replacement Care
23 Resource Allocation System
23 Review
23 Risk Assessment
24 Safeguarding Adult Review (SAR)
24 Safeguarding Enquiry
24 Self-Assessment
24 Self-Directed Support
25 Self-Funding
25 Shared Lives Scheme
25 Self Neglect
25 SIRI (Serious Incident Requiring Investigation)
26 Social Care Worker
26 Social Worker
26 Supported Living
6
Contents
Page What’s on this page?
26 The Three Conversations Approach
27 Universal Services
27 Voluntary Organisations
27 Wellbeing
27 Wilful Neglect or Ill Treatment
28 Worcestershire Safeguarding Adults Board
(WSAB)
7
Adult Social CareThis is care and support for adults age 18
and over who may need extra help to live as
independently as possible.
It includes older people, people with a
disability or a long term illness, people with
mental health problems and carers.
Adult SafeguardingThis is protecting adults who might be at risk
of abuse or neglect.
AdvocacyThis is support that helps people to say what
they want and need.
An Advocate will speak up for a person who
needs help to understand information and
also help them to talk about their needs and
wishes.
Abuse and NeglectAbuse is when someone hurts you or says
something to you that frightens you or causes
you harm.
Neglect is when your care and support needs
are not being met.
8
AssessmentThe Care Act 2014 says that people who might have care and support needs can be assessed by the Council to find out if they can get support.
The Council will then work with those eligible to develop a Care and Support plan to help them live a healthy and fulfilling life.
Assistive Technology (Telecare)This is special equipment that can help you to
stay safe and independent in your own home
It can include things like smoke alarms, flood
detectors or fall detectors.
BenefitsThis is money from the Government that
some people can get when they need help to
pay for things. Benefits are paid by the
Department of Work and Pensions (DWP).
Benefits can be paid to people who have
special needs or people who don’t earn much
money.
Aids and AdaptationsThese help to make things easier for people
to live more comfortably and independently.
They include things like: walking frames, grab
rails, stair lifts, ramps and walk in showers.
9
Care Act 2014This is an Act that changed the law about
care and support for adults by identifying
special areas called ‘the national eligibility
criteria’ which Council’s will look at to see if a
person can get care and support.
The Council will look at the special areas
identified under the Care Act when they
complete the assessment to see if a person
can get care and support.
Care and Support NeedsThis is the support that a person needs to
cope with their day to day life. It looks at
health, quality of life and safety.
Best Interests DecisionMental capacity means being able to make
your own decisions. If someone has been
assessed as lacking capacity, it means they
would have problems making their own
decisions.
Someone can make decisions for them.
The decision has to be in the persons best
interest.
10
Care PlanThis is a plan that is written after you have
had an assessment. It sets out what your
care and support needs are, what services
you will receive and how.
You should be fully involved in the plan. If you
are in a care home or attend a day service,
the plan for your daily care may also be
called a care plan.
Care WorkerIf someone is assessed as needing care, a
care worker is a person who is paid to
provide support to someone who is ill,
struggling or disabled and could not manage
without this help.
Care HomeThis is a home that you live in with other
people. They have trained staff who provide
care and support. It is called residential care.
It is for older people or people with disabilities
who need 24 hour care. Some homes have
trained nurses.
Care and Treatment Review (CTR)This is an independent review of the care and
treatment with a person who has a learning
disability and or autism, who is in a mental
health and learning disability hospital or might
be going into one. A CETR is a review
meeting with a child or young person. The
review is to make sure people are safe and in
the right services at the right time.
CarersThis is a person who provides unpaid support
to a family member or to a friend.
11
Contributing Towards Care and SupportIf someone is assessed and needs care and
support, they might need to pay towards their
care.
They will have a financial assessment to look
at how much money they have and to see if
they can afford to pay towards their care.
CommissionerThis is the person or organisation who plans
the services that people who live in our area
might need.
The local council are the commissioners for
adult social care. In Worcestershire, health
and social care commissioners work together
to get the right services for local people.
Community Health ServicesThese are Health services that are provided
outside hospitals.
This could be a service such as district
nursing.
CCG (Clinical Commissioning Group)These were set up in April 2013. The CCG’s
plan and buy local health services.
12
CPA (Care Programme Approach)
This is care planning for people with serious mental health problems.
It helps mental health services to assess your needs and work out how best to support you.
CQC (Care Quality Commission)This organisation was set up by the
Government to make sure that all hospitals,
care homes, and care providers in England
provide a safe, caring and good quality
service.
The CQC also inspects community care
providers and residential care homes and
reports on this.
DBS (Disclosure Barring Service)This is a government organisation that
checks people's criminal records, to stop
unsuitable people from working with children
or adults who may be at risk of harm or
abuse.
Continuing Health CareThis is care provided outside of hospital to
someone who is ill or disabled.
The care can be in a nursing home or in
someone’s own home.
It is provided when someone needs more
health care than social care, it is paid for by
the NHS.
13
Direct PaymentsThis is money, paid by the council, to a
person (or someone acting on their behalf)
each week or month, so they can arrange
their own support.
DoLS (Deprivation of Liberty Safeguards)This is legal protection for people in hospitals
and care homes who do not have the mental
capacity to make decisions about their care
and treatment.
Domiciliary CareHome care or domiciliary care is help in your
own home.
It is usually things like help with dressing,
washing or getting to the toilet.
Deferred PaymentsThis is for people who need to pay towards
their care-home fees.
If they own their own home but can’t or don’t
want to sell it straight away, they can apply
for a payment agreement so that they can
pay later.
14
Extra CareThis is for people over 55. You can live
independently in a home of your own but
have services and support available if you
need them.
An Extra Care Housing Scheme usually has
some shared facilities for everyone to use like
a restaurant, shop, gym or hairdresser.
Financial AssessmentThis is when Worcestershire Adult Services
check how much money you could pay
towards the cost of your care and support.
Funded Nursing CareThis is a payment made by the National
Health Service (NHS) direct to a nursing
home to pay for a registered nurse.
Eligibility CriteriaLocal councils use 3 main points to check if
you can get support. These are called the
‘national eligibility criteria’.
If your needs reach the level where you can
get support, this is called the ‘eligibility
threshold’. Councils can still work with people
who don’t qualify for funding.
15
Health and Wellbeing BoardThe law says each local authority must have
a Health and Wellbeing board. It is made up
of different NHS and local authority members.
It’s aim is to help the way health and social
care services work together.
HealthwatchThis is an organisation which helps people to
challenge how health and social care
services are provided.
Independent LivingThis is the right for a person to choose the
way they want to live their life.
They should be able to choose where they
want to live and who they live with.
They could get support to do this.
Hate CrimeThis is a crime that someone thinks was
caused because of a person’s religion, belief,
gender identity or disability.
Health &
Wellbeing Board
16
Integrated Packages of Care (Joint Packages)This is where the Clinical Commissioning
Group and Adult Social Care are both
responsible for managing a care package that
has health and social care needs.
Liberty Protection Safeguards (LPS)Liberty Protection Safeguards will provide legal protection for people who are over 16 and do not have the mental capacity to make decisions about their care and treatment.
They may be living/staying in a care home, hospital or domestic living situation.
Making Safeguarding Personal (MSP)This is a person centered way of safeguarding.
It works with the person at risk to get the result they want.
Independent Mental Capacity Advocate (IMCA)This is someone who speaks up for you if you
can’t make a decision for yourself and you do
not have family or friends who can help.
An IMCA will help when important decisions
have to be made by the NHS or local council
about where you live or medical treatment.
17
MARAC (Multi Agency Risk Assessment Conference)This is a group of different organisations who
meet to manage cases of high risk domestic
abuse.
MASH (Multi Agency Safeguarding Hub)This is a point of contact, in a local area,
where worries can be raised about the safety
of adults and children who may be at risk.
It is a way of making people safer by sharing
information and acting quickly when someone
is at risk of harm.
MATE CrimeThis is when someone pretends to be your
friend but then treats you badly.
MAPPA (Multi Agency Public Protection Arrangements)The Police, Probation and Prison Services
work together with other agencies to protect
the public from the risks of violent and sexual
offenders who live in the community.
MASH
MARAC
MAPPA
18
Neighbourhood Teams (Primary Care Teams)Local teams of health and social care
professionals who provide care and support
for people to help stay fit and healthy and
remain independent in their own home.
Nursing CareThis is a service provided by a nurse. This
can be providing care or the planning and
supervising of care.
It involves medical care that allows people
with complex needs to be safely supported.
Occupational Therapist (OT)Trained specialists who can help people learn
new skills or help them remember skills they
have forgotten.
They can also arrange for aids, like grab rails,
to be fitted into people’s homes to help them
get around.
Mental CapacityMental capacity is being able to make your
own decisions about where to live, what
health treatment you receive or how to
manage your money.
The Mental Capacity Act 2005 says how
someone who lacks capacity should be
supported.
19
OutcomesThis is what a person would like to happen,
for example, to carry on living in their own
home or being able to get out and about.
A person should be able to say which
outcomes are most important to them and get
suitable support to make them happen.
PALS (Patient Advice and Liaison Service)This is a service which gives advice and
support to NHS patients, their relatives and
carers, about their care and treatment.
Personal AssistantThis is someone you choose and employ to
provide the support you need in the way that
suits you best.
A personal assistant can be paid through
direct payments or a personal budget.
Ordinary ResidenceThis is the name given to the place where
you live or your main home.
The Care Act 2014 says that the local
authority where your main home is, will be
responsible for your care and support.
PALS
20
PersonalisationThis is a way of thinking about your care and
support services.
You choose what support you need and have
more control over your life.
PREVENTPREVENT is a Government safeguarding
scheme to stop vulnerable people becoming
terrorists or supporting terrorism.
Preventative ServicesThese are services that can help to stop
serious problems getting worse.
They might include things like re-learning
skills for daily living, telecare aid, alarms and
services to help prevent falls.
The aim is to help you stay independent,
save money and avoid going into hospital or
residential care.
Personal BudgetA personal budget is money that is given to
you, by your local council, to pay for your
care or support.
PREVENT
21
Protection of PropertyIf someone with care and support needs is
being cared for in a care home or hospital,
the local authority must protect their property.
These are things like your personal
possessions, furniture and pets.
Public InterestThis is when the authorities have to decide if
keeping something private about someone is
not helping to protect the public.
The public may need to know that someone
could be harmful or dangerous.
Primary CarePrimary Care is the first place that patients go
to in the NHS.
It includes GP’s, community nurses,
pharmacists and dentists.
Primary Care
Protect
Property
22
ReablementThis is a way of helping you stay independent
by giving you the opportunity to re-learn some
of the skills for daily living that might have
been lost after being ill, having an accident or
a disability.
Resource Allocation SystemThis is the system that some councils use to
decide how much money people get for their
support.
ReviewThis is when someone who has a care
package, has a conversation with a social
worker, to find out if there are any changes to
your circumstances.
They will look at whether the services you are
receiving are still meeting your needs.
Risk AssessmentA risk assessment can be done for different
reasons; for example it could be done if you
had to move to another care home.
It shows the risks to you and others and how
the risks can be managed safely.
Replacement CareReplacement Care is a service that gives
carers a break.
This can be supporting a person in their own
home or in another setting.
23
Safeguarding EnquiryWorcestershire Local Authority will look into
any worries about abuse or neglect.
This is sometimes called a ‘section 42
enquiry’.
Self-AssessmentThis is a form or questionnaire, on paper or
online, which needs to be filled in to tell us
about your circumstances and why you need
support.
The information will be used to see if you can
get social care services or if you need a full
assessment by a social worker.
Self-Directed SupportThis is person centered social care.
It means that you can make choices about
the service you get so that it meets your
needs.
Safeguarding Adult Review (SAR)Worcestershire Safeguarding Adults Board
can carry out a review when an adult, with
care and support needs, is harmed or has
died.
This is to find out what happened and what
can be learned to make things better in the
future.
Enquiry
24
Shared Lives SchemeThis scheme supports adults with learning
disabilities, mental health problems or other
needs, who find it hard to live on their own.
Self NeglectThis is where someone does not take care of
themselves properly in day to day life.
SIRI (Serious Incident Requiring Investigation)This is when the NHS look into incidents that
happen where someone is seriously harmed
or there is an unexpected death of a patient,
staff, visitor or member of the public.
Self-FundingThis is when you arrange and pay for your
own care services and you do not receive any
money from the council.
25
Social WorkerA Social Worker is a professionally qualified
person who works with individual people and
families to help improve their lives.
They will set up links to other agencies who
can provide help and support.
Supported LivingThis allows adults with a disability to get the
support they need to live in a home that they
own or rent.
The Three Conversations ApproachThis is a new personalised way of working.
Worcestershire uses 3 steps to improve
people’s lives:
1. Listen to people and families to find out
what they want.
2. Find out what is and isn’t working
3. Look at what needs to happen for them
to live an improved life.
Social Care WorkerSocial Care Workers support adults with care
and support needs to live independent,
healthy, happy lives.
They can help people to find community
groups and get advice and support.
We need …
26
Voluntary OrganisationsThese are not run by the Government or local
councils.
Some of these organisations are user led,
which means they are run by the people they
help, for the people they help.
WellbeingThis is when a person has good physical and
mental health in their day to day life.
They also have good relationships with other
people, have enough money and the
opportunity to take part in activities that
interest them.
Wilful Neglect or Ill TreatmentWilful neglect is when someone who should
be caring for a person, does not care for them
properly.
Ill treatment is when a person is treated
badly.
Universal ServicesThese services should be available to everyone in their local area. They include transport, leisure, health and education.
You don’t have to be assessed to qualify for universal services.
27
Worcestershire Safeguarding Adults Board (WSAB)
Each local authority must set up a Safeguarding Board.
The main aim of the Board is to prevent abuse or neglect of adults who have care and support needs and to make sure that the council works with other agencies, like the NHS, Police and representatives from older people’s groups and disability groups, to help protect vulnerable adults.
28