Page 9 - Community Living Magazine 31 - 4
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legal: due process

       set of parents who were inclined to take
       on the caring role. The consequence is
       that entrenched positions have
       sometimes been adopted.
        People who have been holding (in
       name, at least) a direct payment for years,
       are now being told that they cannot have
       one as they do not have capacity. As a
       result, a parent who is their personal
       assistant (PA) cannot hold and run the
       payment and also be paid under the
       direct payment. This causes massive
       upheaval.
        I believe that this approach is defensible
       if one starts out with a proper
       consideration of a person’s capacity to
       understand what taking a direct payment
       does – which lets the council off the hook
       of provision.
        But surely this is not the case when a
       direct payment has been used for years
       and the adult client has been consensually   Working it out: payments for care and support may be calculated using methods that do not
       benefiting from the parent helping to   reflect a client’s circumstances or the cost of providing services in the local market
       “manage” the payment and the
       employment relationship as agent for the   what you’ve saved up”, overlooking the   lawyer, who may already have given advice
       service user; the parent is not a formal   possibility that there may be a reason for   on the matter to the adult services director.
       “suitable person” so cannot be the   the underspend. This may be because   Therefore, the monitoring officer should be
       employer and employee at the same time.  care cannot be secured at any price or   involved in case independent advice is
                                           that the payment was to made to cover   needed.
       Direct payments to relatives        contingencies and fluctuations in the
       Connected to this are blanket policies that  first place.                excessive charging
       a parent in the same household as the   Most councils’ direct payment    Mayhem in charging has been reported to
       client should not be paid, even where   agreements build in due process for   CASCAIDr, with stories about service users
       evidence shows that care cannot be   something as life changing as a     being charged more for a service than it
       purchased in the area for the amount   suspension of a direct payment. Contracts   costs the council.
       provided by the direct payment.
                                                                                  We simply cannot get our heads around
                                           and employee relations will be irrevocably
      “      The easiest way to            soured if this process is not respected.  how this even happens. Surely the people
                                                                                who make charging software know that
                                                                                the maximum is the cost of a person’s
                                           remedies
                                           Linked to the question of when the
                                                                                services to the authority, and program in a
         avoid getting stuck in the
          complaints system is to          decision is actually “made” is the question  warning signal if it is exceeded?
                                           of what one should do about it if it is
                                                                                  We think this is down to block (or
            ask for something it           thought to be so bad as to be unlawful.   group household) contracting having
                                             The complaint system is creaking, and
               cannot provide       ”      the easiest way to avoid getting stuck in    continued, despite the requirement to
                                                                                disaggregate budgets in shared services.
                                           it is to ask for something that the
                                                                                We will be focusing on that problem in
                                           could be the continuation of services, if
        If the parent were to be willing, no doubt   complaint system cannot provide. This   the coming year as it is what we call a
                                                                                “mindset” issue. n
       on the minimum wage, to fill that gap in   these are being provided, or a commitment
       commissioning efficiency, how could it not   to provide them pending the conclusion of   Belinda Schwehr is chief executive of legal
       be regarded as “necessary” to authorise it?   the complaint process. If this cannot be   advice charity CASCAIDr (www.CASCAIDr.
       We would say it was the best way of   done, a referral to the monitoring officer is   org.uk) and owner of the Care & Health Law
       avoiding legal action if the council’s   the easy solution.              consultancy. She has been a barrister,
                                             Our view is that if the decision has been
                                                                                solicitor advocate and university law lecturer
       commissioners have been so inept as not
    Ken Teegardin/www.assistedseniorliving.net  to do so by councillors with no knowledge   However, if the client or advocate can   This article is the first of a two-part
       to manage the market under the section 5
                                           made defensibly – on paper at least
                                           – making a complaint is appropriate.
       duty, or have been left short of the means
                                           identify an aspect of the situation that is
       of social care law.
                                                                                 series. Part two will examine persistent
                                                                                 “mindset” issues in the approaches of

                                           arguably strongly unlawful, it is a sort of
       Suspension of direct payments
                                           Kafkaesque madness to make clients
                                                                                 local authorities, care commissioning
                                                                                 groups and commissioners that affect
                                           complain first.
       Direct payments can be suddenly suspended
                                                                                 the delivery of social care and health
       if an underspend is sitting in an account.
                                             Complaints will not conceivably be
                                                                                 entitlements
        Rather than argue about getting it back,
       the council just says “Get on and spend
                                           recourse to the council’s adult social care
       www.cl-initiatives.co.uk            resolved by a complaints officer without   Community Living  Vol 31 No 4  |  Summer 2018  9
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