Delivery of Care Methods

One of the key challenges facing adult social care in Angus is the provision of social care packages. The culture around manual handling has typically been that this must be by two people, irrespective of the assessment or equipment in place. This level of package can be difficult to source causing delays with packages being realised and/or impacting on family/friends assisting until a package is available or delays in people being discharged home.

More recently there has been a focus of delivering care by one person. Whilst there may be benefits and increased flexibility that arises from having care delivered by one person, this approach will not support everyone. We want to ensure that people get the right level of care they need and that carers supporting them are safe to do so. Individual assessments must be undertaken and consider what care is needed and how it can be delivered. 

All services involved with people manual handling need to have accurate knowledge on equipment and manual handling techniques and be open to being flexible in their approach to how care can be delivered.

There can be different ways to describe people manual handling and the delivery of this by one person or in general terms. These include:

  • Single Handed Care
  • Care by One Person
  • Prescribing Proportionate Care
  • Moving with dignity
  • Risk Assessed Care

What is Risk Assessed Care?

The provision of any manual handling must be underpinned by an assessment that outlines how care will be delivered for individuals. This means that manual handling can be delivered by one person or multiple people. We are able to provide equipment that supports providers and family members to deliver care safely by one person or when working with others.

In Angus we are referring to people manual handling practice as risk assessed care as this takes into account the variances in how care can be delivered without emphasising that care by one person is a new concept.

Collaborative Working

It is recognised that people prefer to have continuity of care by one provider, however there are situations where services may have to be delivered by more than one service. This may be due to capacity issues, decline in service user’s health etc. AHSCP understand the challenges faced by providers of working jointly to deliver care but remain committed to identifying ways of overcoming any issues.

AHSCP have developed guidance on joint delivery of care at home services which acknowledges that the main provider for the person will take the lead role if assistance is required from another provider. The main provider should ensure they are proactively informing the allocated caseholder should this way of working arise so decisions can be made on whether any longer-term changes are required to the person’s care package.

AHSCP expect all providers to adhere to the consistent approach for manual handling in Angus.

AHSCP expects manual handling Plans and Risk Assessment documentation to be accessible by the providers involved in the delivery of the person’s care package.

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