What is Care and support at home?
We were asked by the Welsh Government to bring people and organisations together to develop a five-year strategic plan to improve care and support at home in Wales. The strategic plan includes domiciliary care and support for adults and children, direct payments and the support provided by communities and unpaid carers.
We got people together, looked at what the research told us and asked people living and working around Wales what needed to be done to improve care and support at home.
We worked with partners to create a five-year strategic plan that describes what needs to happen so people can live in their own homes and access care and support when, where and how they need it.
What we’re doing to improve care and support at home in Wales
We've worked with partners to develop some specific resources to support improvement in care and support at home:
Direct payments: a guide
We've developed an online resource to improve knowledge about direct payments for practitioners and people who receive them. Direct payments: a guide supports good practice by giving access to essential information, case studies, data, and research about direct payments.
We worked with partners to develop a report about community resilience and well-being in Wales. It includes draft principles to help understand how we can support the development of community resilience.
Balancing risks, rights and responsibilities
Balancing risks, rights and responsibilities can be difficult as risk is often seen as something to be avoided and controlled by professionals. In reality, taking some risks is an important part of everyday life that supports people to do what matters to them – which includes living in their own home for as long and possible. We’ve produced a report exploring what the research says and how people are taking an outcomes-focused approach to balancing risk, rights and responsibilities.
Social care procurement
Social care procurement is complex because it needs to abide by both procurement law and principles such as voice, control and co-production in the Social Services and Well-being (Wales) Act. We worked with the National Commissioning Board to develop guidance to help commissioners with this area of work.
Outcomes focused commissioning
The National Commissioning Board has developed a toolkit to help commissioners work in a way that supports people’s personal well-being outcomes.
The Social Care Institute for Excellence (SCIE) has written a literature review, summarising research around care and support at home.
Other useful resources
As well as the Care and support at home programme work, we’ve linked with other work supporting the well-being of individuals, carers and communities.
Dewis Cymru is a website with information about local groups, organisations and services throughout Wales that support individual and community well-being.
We have a range of resources aimed at helping practitioners work well with unpaid carers to support them in the hugely significant role they play in providing care and support at home.
Co-production is at the heart of good care and support at home. We’ve produced a booklet, Building Care and Support Together to help people work in a more co-productive way more often in their roles.
The National Commissioning Board and National Provider Forum are key partners who support improvement in care and support at home, in particular around commissioning.
Understanding the value of social care to the economy is important for people making decisions about public spending to consider. The Economic Value of the Adult Social Care Sector – Wales report looks at the direct value of adult social care to the Welsh economy. It also looks at its wider impact, including on organisations supplying services to the sector and the spending power of people employed directly and indirectly in social care.
The domiciliary care workforce is the latest group to join our register of social care professionals.
The All Wales Induction Framework for Health and Social Care (AWIF) has been developed for the social care workforce. It is an important part of registration and is closely aligned to the qualifications for the domiciliary care workforce.
Qualifications for the care and support at home workforce are currently being developed. These will play an important part in domiciliary care worker registration, but are also suitable for a other roles within care and support at home.
There's a specific area in the care and support at home plans around evidence from academic and practice-based research. This is being taken forward through a separate strategy and programme of work.
How we're organising our work
A group oversees the work our key partners need to do to put the strategic plan into action, summarised in the implementation plan.
There are three sub-groups that help partners give progress updates and support each other in their work. They are also an opportunity to share information and learning about our work. The sub-groups look at parts of the implementation plan:
Supporting the well-being of carers and communities
Individuals, carers and communities are key to care and support at home. This area of work focuses on making sure individuals and carers are equal partners in decision making and that care and support at home is built around the communities that matter to people.
Commissioning care and support at home
Care and support at home can happen in many different ways. It needs flexibility to support people to maintain their independence and well-being by meeting individual outcomes and different needs. Commissioning is a process that includes finding out what is needed for an area or region, then planning, developing, arranging and monitoring the services that are required.
The care and support at home workforce
The care and support at home workforce needs the knowledge, skills and values to deliver outcome-focused care and support at home. We have been working with partners to make sure that some of the large programmes of work affecting the care and support at home workforce are suitable and relevant.
If you would like to find more about the work of the sub-groups, please contact us using the link below.