Council cut man’s care hours without showing how it would meet eligible needs

Birmingham council also failed to uprate man's direct payments in line with cost of care for almost a year, leaving family in debt to provider

October 20, 2021 in Adults, Social work leaders

Image of filing cabinet with 'investigations' label

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A council cut a man’s care hours without showing how it would subsequently be able to meet his eligible needs, an investigation has found.

Birmingham council used a resource allocation tool to determine that Mr S needed 78 hours of care, including shared waking night support with his supported living housemates, down from 91 hours plus sleep-in nights shared with another resident.

However, the Local Government and Social Care Ombudsman found that in making the change, in September 2020, the council did not make clear how the shared waking nights could be used to meet his eligible needs, which was a fault.

Staff also initially refused to share the tool with Mr S’s father, Mr X, when he requested it, and did not address his concerns about the accuracy of the needs assessment, a lack of transparency with which the ombudsman also found fault.

In debt to provider

The watchdog also concluded that Birmingham council left the family in debt to Mr S’s care provider by not increasing his direct payment in line with a rise in the agency’s hourly rates in April 2019. This was despite the council having increased payments for care packages it commissioned directly.

The council only uprated Mr S’s direct payment in April 2020 and, despite initially saying it would backdate payments to May 2019, it then refused to do so.

The ombudsman found that the debt was caused in part by the fact it took the authority 16 months, from May 2019 to September 2020, to complete a reassessment of his needs. As a result his 91-hour package, with the uprated hourly rate, remained in place but with a direct payment that was insufficient to fund it.

Despite Birmingham’s failings, the ombudsman found that Mr S, who has Down’s syndrome, did not miss out on support.

This was because he had been unable to do most of the activities in his original support plan because of the pandemic, and his care provider continued to meet his needs despite the family not being able to fund the package in full after the rise in hourly rates.

Recommendations

Birmingham has agreed to the watchdog’s recommendations to:

Demonstrate how the hours it has assessed Mr S as needing can meet his needs and, if it cannot, review his care and backdate direct payments accordingly to the start of the revised package, in October 2020.
Pay the care agency the debt accrued by the family between April 2019 and March 2020.
Apologise to Mr X and Mr S’s mother, Mrs X, and pay them £250 in acknowledgement of the distress and fraustrations caused by the delays and faults in Mr S’s case.
Remind staff of the need for transparency in determining support hours and to disclose how calculations have been made when requested.
Review the reasons for delays in the case and implement service improvements off the back of this.

Birmingham also said it would conduct a thorough review of how and when direct payments are uprated in line with inflation or increases in the national minimum or living wages.

The council has been approached for comment.

Local Government and Social Care Ombudsman

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4 Responses to Council cut man’s care hours without showing how it would meet eligible needs

A Man Called Horse October 20, 2021 at 6:02 pm #

Councils with no money breaking the Law to save money, not really shock news is it? The Care Act gives them legal duties regardless of their income.

Austerity part 2 has started and it will be more of the same with a few extras.

Pay more ( Council Tax)
Cuts to jobs and services.

Get much less for what you pay.
Tom J October 21, 2021 at 9:51 am #

Councils do not have anywhere near the funds they need, so instead the rearrange the deckchairs on the Titanic.

I would bet the house that this man is not the only service user in Birmingham to have experienced this. He is just ‘lucky’ that he has a family with the ability to advocate for him. What would have happened if he had been unable to advocate for himself?
anon October 21, 2021 at 10:15 pm #

In addition to what horse and Tom have said, it also needs to be noted that the man waited 16months for a reassessment. The article doesn’t explain why… But I would suspect that Birmingham have had recruitment and retainment issues. Like alot of local authorities.
Beth October 22, 2021 at 5:31 pm #

91 hours is a lot of highly restrictive care for one person. Please bare in mind that lots of families want their adult children overly supported. A shared sleep in makes economic sense. It’s hard to comment properly as not party to needs and full details but transparency is key. And ensuring that the care is paid for properly and fairly. Can see both sides. Sometimes reductions are in adults best interest and promote independence much to some families horror.