Scottish care representative, Care Scotland, has called on the Scottish Government to put an end to non-compliance with the Self Directed Support (SDS) Act.
This Act came into effect from April 2014 in Scotland and introduced a process where an assessed individual is given an ‘indicative budget’, is guided to develop a personal support plan and supported to achieve identified and budgeted outcomes.
However, according to research by Care Scotland, the vast majority of care homes are not complying with the Act: assessment does not take into account the recent sharp rise in levels of acuity and dependency as people enter care homes much later in life. As a result, individuals with significant clinical needs are being placed within residential care home facilities.
Specifically, a new report, Rights at Home, concludes:
- 98 per cent of care homes surveyed stated that none of their residents are in receipt of an SDS package.
- 25 per cent of care home residents were believed to had been given an assessment which identified personal outcomes under the SDS Act
- 1 per cent of care home residents in the survey were given the choice of available SDS options
According to latest census data (2017), 91 per cent (32,691) care home resident were in older people’s care homes. The percentage of long stay residents living with dementia (both medically and non-medically diagnosed) in a care home for older people has increased 15 per cent over a decade to 62 per cent of the 2017 older people’s care home population.