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9.4 Early Support Homecare Service

This chapter was added to the manual in July 2015.


1. Introduction
2. Role of the Homecare Service
3. Thresholds and Eligibility
4. Referral Process
  4.1 Child Contacts
  4.2 Referral and Decision Making
  4.3 Prioritisation
  4.4 Allocation
5. Reviews

1. Introduction

The purpose of this document is to set out the procedure that should be followed when receiving referrals for Homecare. Its aim is to ensure that contact and responses given are consistent across the service.

All work undertaken should be compliant with relevant legislation issued in relation to The Children Act 1989 and Care Quality Commission.

The procedure complements Nottinghamshire’s Safeguarding Children Policy and Procedures. Staff should be familiar with these documents and ensure they are complied with at all times.

A copy of this document will available at the Homecare Duty Point.

2. Role of the Homecare Service

Homecare is a specialist domiciliary care service, which provides personal care-needs support to disabled children and young people in their own homes. This can be working alongside a parent/ carer if a child requires 2:1 support and in exceptional circumstances relating to Health and Safety it may be 2 support workers supporting an individual child.

It should be noted that Homecare is not a short break service for parents and carers.

3. Thresholds and Eligibility

Children and young people who will be eligible for Homecare support will be:

  • Disabled children and Young people living in Nottinghamshire;
  • Children and Young People aged 5-18 years (up to their 18th Birthday);
  • Children open to CDS fieldwork team with an identified need for personal care support;
  • Children identified by a Multi-agency team, as requiring personal care support.

Commissioners will:

  • Recommend the service / identified outcomes.

    E.g. to remain at home and have their personal needs meet appropriately.

Providers will:

  • Undertake a 6 week period of intervention / assessment, to identify the most appropriate way to support the child / young person;
  • Provide the service in a way to meet the assessed needs / identified outcomes.

    E.g. provide five mornings of personal care support.

4. Referral Process

4.1 Child Contacts

All Contacts are taken through the Homecare Duty Point which is open Monday to Friday, – 4.00pm (excluding bank holidays).

A Case note record will be completed on all enquiries to the Homecare service and the team manager will be alerted.

A referral form will be sent to the referrer to complete and return to the Team manager.

4.2 Referral and Decision Making

Upon receipt of a completed referral form, a decision whether to progress to allocation will be made based on:

  1. Does the child or young person meet the criteria described in Section 3, Thresholds and Eligibility;
  2. If it is felt that the child has needs that can be met by universal and targeted services, the professional referrer or most involved professional will be advised to undertake a CAF to consider the child’s need for early preventative and targeted provision.

Outcomes of referrals must be clearly recorded on framework by the team manager with the reason for the decision clearly stated.

4.3 Prioritisation

If the threshold for a service is met, the Team Manager will decide on the level of priority. Priories have been designed so that children with the greatest need/s receive a timely response and service.

Priority 1. Safeguarding needs – children who are referred for support with concerns around Safeguarding
Priority 2. Referrals for severely disabled children who currently have no support in place and where a timely delay in provision will have a detrimental effect on their development and health
Priority 3. Referrals for severely disabled children who currently have some support in place but for whatever reason the support is not working and the family is at risk of breakdown
Priority 4. Referrals for severely disabled children who currently have some support in place but for whatever reason the support is not working but there is no immediate risk of breakdown

4.4 Allocation

Following the decision to allocate, the manager will:

  1. Undertake a visit to the child and family to begin the process of completing the personal support plan, including the detailed ‘This Is Me’ document, and agree a 6 week period of support;
  2. Take the case to resource allocation to log the support;
  3. During the six week period, support may be increased, decreased or ended depending on the needs of the child / young person;
  4. If after the initial 6 week period of support it is felt that on-going support is required, the homecare service will discuss how best this might be provided e.g. from NCC’s own service, an approved provider or via a direct payment.

5. Reviews

Where homecare is still supporting a child after the initial six week period and the case is not open to a social worker, the case will be reviewed 6 monthly by the Homecare Team.

Where homecare is still supporting a child after the initial six week period and the case is open to a social worker, reviews will be co-ordinated in line with Social Care CIN timeframes.