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legal: ombudsman

        The welcome aspects of this LGSCO   ignoring commitments to
       response are:                       other family members
       ● ●The requirement that the council must   are unlawful.
        consider if other service users could   A carer’s willingness
        have been affected by arbitrary upper   and ability to carry on
        limits on hourly rates for budgets and   are critical to a service
        address this                       user’s own reassessment
       ● ●The price in any market must reflect the   and the £1,600 should
        reality of the contractual situation from   have been in his budget
        that provider’s perspective – here, a   after 2015.
        direct payment relationship with the   The carer’s position
        customer on the provider’s own terms   needed to be factored
        – not a “bulk hours” deal with the   into any cut to the
        council on the authority’s terms.  service user’s budget,
        If the decision to continue funding    under section 27 of the
       by way of a direct payment reflected that   Care Act; and the carer,
       the council acknowledged the value of   having been separately
       that route (for continuity, since the   assessed as being
       provider was not a council contractor) and  entitled in her own right,
       promotion of wellbeing for the man and   had an unanswerable
       his family, then it should have considered   claim to the money
       whether the contract for the higher rate   allocated.     The ombudsman said Nottinghamshire County Council should not
       in some way provided for wants rather   The LGSCO         make decisions based purely only on financial matters
       than needs, or whether it was driven by   recommended that the
       the need for skills specifically around   council repaid all the money spent by the   reduce long-term packages through
       Asperger’s, which had been noted in   complainant’s parents on top of the   discussions of: family and community
       previous assessments.               budget. This recommendation flowed   sources of support; assessment of risk
        The man had not expressed a        quite properly from the principle of   levels and contingency planning; and
       preference for a more expensive service;   restitution for unjust enrichment during a   long-term outcomes.
       it was a service he had received for many   period of unlawful Care Act process;   This has to be right in law. Acceptance
       years, and the local authority’s own   others were known to be spending money  of streamlined or interim offers is only a
       records acknowledged he would not have   in place of the local authority’s statutory   choice if the person knows what they are
       been able to cope with a sudden change   duty to deliver on the care plan.  giving up, and has the capacity to work
       of provider. It was therefore more likely a                              out the pros and cons of that choice.
       need rather than a mere want.                                              If one can get this much from resorting
        The LGSCO said: “The council correctly   “  There is a trend in         to the LGSCO, it becomes increasingly
       points out the statutory guidance allows    ombudsman reports that       tempting to think of it as a form of
       it to consider the financial cost when                                   informal tribunal for unlawfulness,
       deciding how much to pay to meet a    certain practices do not get       even it cannot offer a full-blown formal
       person’s eligible needs. Cost can be a   the benefit of the doubt        appeal route. n
       relevant factor in deciding between                                      ● In the next issue, we will examine
       suitable alternative options for           but are called out            significant LGSCO cases that concern
       meeting needs.                                                   ”       delays in finding appropriate care
        “However, that does not mean choosing                                   and excessive delays in completing
       the cheapest option. The council can   The LGSCO did not recommend       assessments. n
       consider best value, but it cannot make   reimbursement of anything that had    ● Local Government and Social Care
       decisions based only on financial   not already been found due to the man in   Ombudsman: www.lgo.org.uk/
       considerations, as it appears to have done   the past. And there was no suggestion
       in this case.”                      that the man’s needs had lessened,    Belinda Schwehr is chief executive of
                                           which is needed for a council to justify   legal advice charity CASCAIDr (www.
       Carer needs                         cutting payments.                    CASCAIDr.org.uk) and owner of the Care
       Nottinghamshire County Council had also                                  & Health Law consultancy. She has been a
       completed a carer’s assessment for the   Calling out wrongs              barrister, solicitor advocate and university
       mother, which recorded in 2018 that she   There is a discernible trend in LGSCO   law lecturer
       was experiencing stress because of her   reports that certain practices are no
       caring role. It had previously noted this   longer being given the benefit of the   References
       was happening in 2015.              doubt but, instead, are being called out as   Local Government and Social Care
                                                                                Ombudsman (2019) Bath and North East
                                           wrongs unless a council promptly offers
    John Sutton/geograph.org.uk  as a carer was “entitled to £150 to use for   further due process.   com/ybpg7ll6
        The assessment concluded the mother
                                                                                Somerset Council (19 000 003). https://tinyurl.
                                             These practices include operating a
       a carer’s break and also £1,600 a year for
                                                                                Local Government and Social Care
                                           flat-rate policy, quality control panels and
       respite for [her son]” but the local
                                                                                Ombudsman (2020) Nottinghamshire man’s
       authority did not pay these sums.
                                           many weeks of pre-assessment
                                                                                care package reduced because of financial
                                           signposting. They also include the Three
        Ignoring the wellbeing of a carer who is
                                                                                pressures, Ombudsman finds. Press release.
       overburdened by the caring load and
                                                                                https://tinyurl.com/rpkxp2b
       www.cl-initiatives.co.uk            Conversations approach, which seeks to   Community Living  Vol 33 No 3  |  Spring 2020  9
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