Unit 538 Manage Domiciliary Services

Unit 538
Manage Domiciliary Services

Domiciliary care has been on the front line when it comes to media coverage and government input. The culture surrounding caring for people in their own homes is becoming the forefront of our health and social care system. Though past generations used to take caring for their loved ones at home for granted, the past half a century has seen an increase in elderly adults becoming residents of care homes and nursing homes. This is changing now for many reasons such as increased negative publicity regarding care homes for example Winterbourne View. Winterbourne view has created what some are calling ‘The Winterbourne effect’ resulting in more and more allegations of abuse occurring in residential care settings.
In 2012 the current coalition government responded to two independent reports with a new white paper “Caring For our Future: Reforming Care and Support”
The White Paper identifies the case for changing the adult social care system based on the findings of a two year programme of consultation and engagement.
The problems identified to be tackled by the White Paper reforms include:  
• Too often the system only reacts to a crisis
• Society is not making the most of the skills and talents in communities
• People do not have access to good information and advice
• Access to care varies across the country and is confusing.
• Carers have no clear entitlements to support
• Not all care is good and the quality of care is variable and inconsistent
• People often feel ‘bounced around’ and have to fight the system to have the joined-up health, care and support they need
• A growing and ageing population is only going to increase the pressures on the current system
A quick summary of the new system and the proposals set out in the White Paper are based around two core principles:  
1 Individuals, communities and the Government have a responsibility to do everything that they can to prevent, postpone and...