Care Assessment Survey: with Sheltered Scheme and Care Home Managers

Our survey of care home managers and sheltered scheme managers reveals that some residents are not receiving a level of social care that meets their needs.
two people talking and filling out a survey


Between September and October 2016, we conducted a survey of sheltered scheme and care home managers about time frames for residents receiving a care assessment, a review, or delivery of a care package from Lambeth Council. 

One scheme manager told us:

“They (residents) are alone for 10-12 hours. Some have difficulty and become distressed if they soil themselves. If there was a fire, there’s no way they could get out by themselves.”

The survey looked into the timescales for people in supported accommodation receiving a care assessment, a review or delivery of a care package from Lambeth Council.

We found that although scheme managers reported no widespread delays in carrying out assessment or delivering care packages, some residents living in supported accommodation were in need of an assessment or review.  We suggest that better promotion of the assessment referral process could be useful, both to residents and their families, and to scheme managers.  We were also surprised to learn that the Council doesn’t track wait times for assessments and care packages and we encourage its managers to investigate ways to do this.

Some have difficulty and become distressed if they soil themselves. If there was a fire, there’s no way they could get out by themselves.
— A scheme manager

Richard Sparkes, General Operations Manager, Lambeth Council, said in response to our findings:

 “Lambeth adult social care welcomes Healthwatch’s report and the opportunity to consider the findings from this piece of research looking at assessment and review experiences within sheltered housing and supported living schemes.

 The implementation of the Care Act in 2014 required us to make changes to our approach to adult social care assessments and reviews. This report offers a timely opportunity to for us to consider the effectiveness of those changes.

 Our priority is always to ensure that people most at risk receive a timely response. The Initial Contact Service has the important role of ensuring this happens. The staff are skilled in dealing with risk and prioritising work to ensure that appropriate advice and outcomes are achieved but this is not an easy task and we recognise that sometimes we don’t get this right.

 Helping people to continue to live independently in their communities is important and we welcome opportunities to receive feedback from our colleagues and partners in housing”.

We identified a need to better promote the assessment referral and review process to residents in supported accommodation, their families, staff and relevant signposting bodies to ensure everyone in need of care and support receives a prompt assessment. Scheme managers in particular may benefit from refreshers on identifying changing needs amongst residents and encouragement to make referrals and mental capacity assessments (where appropriate).


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020 7274 8522

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