Local authority ‘postponed’ taking responsibility of service user’s care, ombudsman finds

The council took ‘several months’ to take control of the service user's care package and communicated its arrangements 'very poorly'

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A service user was caused injustice after a council ‘postponed’ taking responsibility for his care and overcharged for services, a Local Government and Social Care Ombudsman report has said.

East Sussex council should have taken responsibility for “all elements” of the service user’s care when he no longer met the requirements to be a “self-funder”. Instead, it delayed taking over the care package  from the service user’s care provider “for several months”.

The council was found to have also “communicated very poorly” when it finally accepted responsibility for arranging and funding a home based care package of 3.5 hours a week.

East Sussex council has since agreed to apologise to the service user and write off outstanding arrears, according to the ombudsman report.

Self-funder

Mr B, the service user, spent alternate periods in hospital and a rehabilitation centre from October to December 2015.

After the medical team decided he could be discharged, a social worker met Mr B and his family in hospital on 8 December to carry out a care and support assessment. It was recorded that Mr B wanted support for personal care tasks, such as washing and dressing, and transfers, with the social worker noting he would need four homecare visits a day.

Mr B was identified as a self-funder on the basis that his joint savings with his wife were approximately £51,000. The log entry noted the pair understood they would have to self-fund the package of care until their savings fell below £46,000, at which point they would need to request a financial assessment.

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A draft care and support plan confirmed Mr and Mrs B would be self-funding a homecare package of four daily calls, while a core assessment document referred to a personal budget of £403.70.

On 11 December the social worker made a referral to a personal alarm/telecare service provider.

After difficulty finding a care provider, the placement team was told by provider Y that, subject to an assessment visit, it could offer a suitable package of care for Mr B. He was discharged from hospital on 23 December and six days later provider Y visited Mr B, agreeing to provide four sessions of double-handed care a day from January 2016.

Mr B paid invoices directly to provider Y for the care sessions. Provider Y billed Mr B directly for services with a total cost of just over £7,000 between January and May 2016.

A month later, Mr B requested financial assessment from the council’s adult social care service (ASC).

Outstanding charges

The council carried out a financial assessment in February 2016. An email sent to the ASC team, the financial assessor said they had completed the assessment for Mr B’s Lifeline/telecare service. The assessor also said Mr B had advised them he was currently paying privately for homecare and that he had requested an ASC assessment for this service.

The financial assessor gave Mr B a letter (26 February 2016) summarising the financial assessment, which said the current cost of his care arranged by the council was £2.85 and the maximum amount he would be asked to contribute per week was £219.24. This was payable from 11 January 2016.

Mr B was given a report of how his maximum financial contribution was calculated. The assessor noted the “client spent £10k on a new car in January 2016”. It was also noted that “six week backdating applied” to the start date for the “client contribution” and that a direct debit form had been completed.

On 1 April, the service user’s daughter, Ms D, phoned the ASC team about the need for further assessment of Mr B’s care and support needs, which was completed on 25 April. The plan described personal care services to meet needs with start dates of 11 January 2016.

In late May, Mr B received invoices from the council for the care package delivered by provider Y from January 2016 and the telecare service, which Ms D challenged.

Following a review of the invoices, the finance team found Mr B had been “double charged” for services and the council reimbursed him £1,159.27.

In July, the adult financial services team sent Mr B a letter saying his maximum weekly assessed contribution would be £222.59 from 4 July 2016. However, the full cost of his care would be £61.34 per week based on services he already received.

Mr B received further invoices from the council on 1 June, before Ms D requested a further care assessment and financial assessment for Mr B.

In November 2016, Mr B said he wanted to end his care package as it could be met by his own family, leading the council to cancel its contract with provider Y.

After refusing to pay invoices, the council wrote to Ms D, now a financial attorney for Mr B, saying there was an outstanding liability for charges of £1,327.47 for the period June to November 2018 and that the council could not write off these charges.

‘Postponed’ action

The ombudsman concluded the council should have taken responsibility for all elements of Mr B’s care package after 26 February 2016 when it found that the service user’s savings had fallen below the upper capital threshold.

This meant Mr B was no longer classified as a self-funder and was entitled to an arrangement involving the council taking responsibility for arranging and paying for the service with Mr B making a financial contribution. Evidence also suggested Mr B wanted the council to take over responsibility for arranging the services delivered by provider Y.

Instead, the ombudsman’s investigation found the council “postponed taking over the package of care” from provider Y for “several months” and, even after arranging and funding a home-based care package, it was “communicated very poorly”.

Moreover, the care and support plan completed by the social worker was deemed to be “contradictory and confusing”, with the ombudsman stating it was “unclear as to what the council’s role” in arranging services was.

Agreed action

Within two months of the report, the ombudsman recommended the council refunded Mr B a further £653.13 in relation to the provision of care assistants by provider Y and a personal alarm service.

It also asked the local authority to write off Mr B’s outstanding arrears of £1,327.47.

3 Responses to Local authority ‘postponed’ taking responsibility of service user’s care, ombudsman finds

  1. Tom J October 19, 2018 at 1:27 pm #

    For every one case taken to ombudsman I guarantee that there are at least 10 other people out there experiencing the same who have not had the money or know with all to complain and go to an ombudsman.

    Local Authorities are on their knees financially. If every adult were to get what they are entitled to under the Care Act every Local Authority will become bankrupt tomorrow. So we play the bureaucratic game when it comes to meeting need and deciding what to fund.

  2. Pete Feldon October 19, 2018 at 4:07 pm #

    The problem might have been avoided if the family had asked the local authority to make arrangements for them straight away, but it seems likely that they were not made aware of what is set out in paragraph 8.57 of the statutory guidance: “Local authorities should therefore take steps to make people aware that they have the right to request the local authority to meet their needs, in certain circumstances even when they have resources above the financial limits and would not be entitled to financial support with any charges”. The Ombudsman didn’t address this – perhaps it was considered out-of-scope.

  3. Pam October 25, 2018 at 2:58 pm #

    I had a social worker who without me having a full expenditure and income assessment and I was deprived of support for 4 months and noone from social services would talk to me. 4 months from hell and a final written apology from manager once it got to complaints. So at least mine didn’t go to ombudsman