Safeguarding and personal budgets: the experiences of adults at risk

Abstract

Purpose The purpose of this paper is to present findings from one element of a study exploring the relationship between personalisation, in the form of personal budgets (PBs) for publicly funded social care and safeguarding. Design/methodology/approach Semi-structured interviews were conducted with 12 people receiving PBs who had recently been the focus of a safeguarding investigation. Participants were recruited from two English local authority areas and data were subject to thematic analysis. Findings The analysis identified three main themes: levels of information and awareness; safeguarding concerns and processes; and choice and control. Many of the participants in this small study described having experienced multiple forms of abuse or neglect concurrently or repeatedly over time. Research limitations/implications This was a small scale, qualitative study, taking place in two local authorities. The small number of participants may have had strong opinions which may or may not have been typical. However, the study provides some rich data on people’s experiences. Practical implications The findings suggest that adults receiving PBs may need information on an ongoing and repeated basis together with advice on how to identify and address poor quality care that they are arranging for themselves. Practitioners need to be aware of the influence of the level of information received and the interaction of organisational or legal requirements when responding to safeguarding concerns when care being supplied tries to reflect the benefits of choice and control. Originality/value This paper reports original research asking adults with care and support needs about the interaction between two key policies of safeguarding and personalisation.

Do Cash-For-Care Schemes Increase Care Users’ Experience of Empowerment? A Systematic Review

“…However, the first important choice for care users is to decide whether they want to manage the budget themselves. If a cash-for-care scheme is imposed on care users, they will not feel empowered [36,57,58,64,69,78,105,119].…”

Do Cash-For-Care Schemes Increase Care Users’ Experience of Empowerment? A Systematic Review

“…However, the first important choice for care users is to decide whether they want to manage their budget themselves. If a cash-for-care scheme is imposed on care users, they will not feel empowered (Askheim, 2003;Aspinal, Stevens, Manthorpe, Woolham, Samsi, Baxter et al, 2019;Gross, Wallace, Blue-Banning, Summers, & Turnbull, 2012;Manji, 2018;Pozzoli, 2018). Impact 42 of the included articles discussed the feeling of impact on the care system and their life that care users have.…”

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“…The Covid-19 pandemic highlighted existing tensions around the regulation and monitoring of PAs, for example, risks of harm, exploitation or abuse of both PAs and employers [12][13][14]. Furthermore, it exposed the importance of PAs as a group who need to be included in infection control and disaster planning.…”