Care Act 2014

Type Public General Act
Publication 2014-05-14
Last updated 2026-04-01
State In force
Department Statute Law Database
articles Not indexed
Reform history JSON API
  • (3) The regulations may make provision in connection with alternative financial arrangements to which they apply, including, in particular, provision of the kind that may (or must) be made in regulations under section 34 or 35 (apart from provision for the payment of interest).

Continuity of care and support when adult moves

Notification, assessment, etc.

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  • (1) This section applies where—
  • (a) an adult's needs for care and support are being met by a local authority (“the first authority”) under section 18 or 19,
  • (b) the adult notifies another local authority (“the second authority”) (or that authority is notified on the adult's behalf) that the adult intends to move to the area of the second authority, and
  • (c) the second authority is satisfied that the adult's intention is genuine.
  • (2) This section also applies where—
  • (a) an adult is not having needs for care and support met under either of those sections but a local authority (“the first authority”) is nonetheless keeping a care account in the adult's case,
  • (b) the adult notifies another local authority (“the second authority”) (or that authority is notified on the adult's behalf) that the adult intends to move to the area of the second authority, and
  • (c) the second authority is satisfied that the adult's intention is genuine.
  • (3) This section also applies where—
  • (a) an adult's needs for care and support are being met by a local authority (“the first authority”) under section 18 or 19 by the first authority arranging for the provision of accommodation in the area of another local authority (“the second authority”),
  • (b) the adult notifies the second authority (or that authority is notified on the adult's behalf) that the adult intends to move out of that accommodation but to remain, and be provided with care and support at home or in the community, in its area, and
  • (c) the second authority is satisfied that the adult's intention is genuine.
  • (4) The second authority must—
  • (a) provide the adult and, if the adult has or is proposing to have a carer, the carer with such information as it considers appropriate (in so far as it would not do so under section 4), and
  • (b) notify the first authority that it is satisfied as mentioned in subsection (1)(c), (2)(c) or (3)(c).
  • (5) The first authority, having received the notification under subsection (4)(b), must provide the second authority with—
  • (a) a copy of any care and support plan prepared for the adult,
  • (b) a copy of any independent personal budget prepared for the adult,
  • (c) in a case within subsection (2), a copy of the most recent needs assessment in the adult's case,
  • (d) if the first authority has been keeping a care account in the adult's case, a copy of that account,
  • (e) if the adult has a carer and that carer is to continue as the adult's carer after the move, a copy of any support plan prepared for the carer, and
  • (f) such other information relating to the adult and, if the adult has a carer (whether or not one with needs for support), such other information relating to the carer as the second authority may request.
  • (6) The second authority must—
  • (a) assess whether the adult has needs for care and support and, if the adult does, what those needs are, and
  • (b) where the adult has or is proposing to have a carer and it is appropriate to do so, assess whether the carer has or is likely to have needs for support and, if the carer does or is likely to, what those needs are or are likely to be.
  • (7) In carrying out an assessment under subsection (6)(a) or (b), the second authority must have regard to the care and support plan provided under subsection (5)(a) or (as the case may be) the support plan provided under subsection (5)(e).
  • (8) This Part—
  • (a) applies to an assessment under subsection (6)(a) as it applies to a needs assessment, and
  • (b) applies to an assessment under subsection (6)(b) as it applies to a carer's assessment.
  • (9) Pending the adult's move, the first authority must keep in contact with the second authority in order to ascertain the progress that the second authority is making in preparing to meet—
  • (a) any needs for care and support under section 18 or 19 in the adult's case, and
  • (b) where the adult is proposing to have a carer immediately after the move, any needs for support under section 20 in the carer's case.
  • (10) The first authority must keep the adult (and, where applicable, the carer) informed about its contact under subsection (9) with the second authority and must involve the adult (and, where applicable, the carer) in the contact.
  • (11) Where the needs identified by an assessment under subsection (6)(a) carried out by the second authority are different from those specified in the care and support plan provided under subsection (5)(a), the second authority must provide a written explanation of the difference to—
  • (a) the adult,
  • (b) any carer that the adult has, if the adult asks the authority to do so, and
  • (c) any other person to whom the adult asks the authority to provide the explanation.
  • (12) Where the cost to the second authority of meeting the adult's eligible needs is different from the cost to the first authority of doing so, the second authority must provide a written explanation of the difference to—
  • (a) the adult,
  • (b) any carer that the adult has, if the adult asks the authority to do so, and
  • (c) any other person to whom the adult asks the authority to provide the explanation.
  • (13) Where the needs identified by an assessment under subsection (6)(b) carried out by the second authority are different from those in the support plan provided under subsection (5)(e), the second authority must provide a written explanation of the difference to—
  • (a) the carer,
  • (b) the adult needing care, if the carer asks the authority to do so, and
  • (c) any other person to whom the carer asks the authority to provide an explanation.
  • (14) Regulations may specify steps which a local authority must take for the purpose of being satisfied as mentioned in subsection (1)(c), (2)(c) or (3)(c).
  • (15) In this section—
  • (a) an adult's needs are “eligible needs” if they meet the eligibility criteria and are not being met by a carer,
  • (b) a reference to moving to an area is a reference to moving to that area with a view to becoming ordinarily resident there, and
  • (c) a reference to remaining in an area is a reference to remaining ordinarily resident there.

Case where assessments not complete on day of move

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  • (1) If, on the day of the intended move as mentioned in section 37(1)(b), (2)(b) or (3)(b), the second authority has yet to carry out the assessment or assessments under section 37(6), or has done so but has yet to take the other steps required under this Part in the adult's case, it must—
  • (a) meet the adult's needs for care and support, and the needs for support of any carer who is continuing as the adult's carer, which the first authority has been meeting, and
  • (b) where the first authority has been keeping a care account in the adult's case, itself keep that account on the same basis as the first authority has been keeping it.
  • (2) The second authority is subject to the duty under subsection (1) until it has—
  • (a) carried out the assessment or assessments under section 37(6), and
  • (b) taken the other steps required under this Part in the adult's case.
  • (3) In deciding how to meet the adult's needs for care and support under subsection (1), the second authority must involve—
  • (a) the adult,
  • (b) any carer who is continuing as the adult's carer, and
  • (c) any person whom the adult asks the authority to involve or, where the adult lacks capacity to ask the authority to do that, any person who appears to the authority to be interested in the adult's welfare.
  • (4) In deciding how to meet the needs for support of any carer who is continuing as the adult's carer, the second authority must involve—
  • (a) the carer,
  • (b) the adult needing care, if the carer asks the authority to do so, and
  • (c) any other person whom the carer asks the authority to involve.
  • (5) In performing the duty under subsection (3)(a) or (4)(a), the second authority must take all reasonable steps to reach agreement with the adult or carer about how it should meet the needs in question.
  • (6) The first authority is not required to meet the adult's needs for care and support or, if the adult has a carer, such needs for support as the carer has, for so long as the second authority is subject to the duty under subsection (1).
  • (7) Where, having complied with the duty under subsection (1), the second authority is not required to meet the adult's needs for care and support under section 18 because the adult is still ordinarily resident in the area of the first authority, the second authority may recover from the first authority the costs it incurs in complying with the duty under subsection (1).
  • (8) Regulations may specify matters to which the second authority must have regard in deciding how to perform the duty under subsection (1).

Establishing where a person lives, etc.

Where a person’s ordinary residence is

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  • (1) Where an adult has needs for care and support which can be met only if the adult is living in accommodation of a type specified in regulations, and the adult is living in accommodation in England of a type so specified, the adult is to be treated for the purposes of this Part as ordinarily resident—
  • (a) in the area in which the adult was ordinarily resident immediately before the adult began to live in accommodation of a type specified in the regulations, or
  • (b) if the adult was of no settled residence immediately before the adult began to live in accommodation of a type so specified, in the area in which the adult was present at that time.
  • (2) Where, before beginning to live in his or her current accommodation, the adult was living in accommodation of a type so specified (whether or not of the same type as the current accommodation), the reference in subsection (1)(a) to when the adult began to live in accommodation of a type so specified is a reference to the beginning of the period during which the adult has been living in accommodation of one or more of the specified types for consecutive periods.
  • (3) The regulations may make provision for determining for the purposes of subsection (1) whether an adult has needs for care and support which can be met only if the adult is living in accommodation of a type specified in the regulations.
  • (4) An adult who is being provided with accommodation under section 117 of the Mental Health Act 1983 (after-care) is to be treated for the purposes of this Part as ordinarily resident in the area of the local authority in England or the local authority in Wales on which the duty to provide the adult with services under that section is imposed; and for that purpose—
  • (a) “local authority in England” means a local authority for the purposes of this Part, and
  • (b) “local authority in Wales” means a local authority for the purposes of the Social Services and Well-being (Wales) Act 2014.
  • (5) An adult who is being provided with NHS accommodation is to be treated for the purposes of this Part as ordinarily resident—
  • (a) in the area in which the adult was ordinarily resident immediately before the accommodation was provided, or
  • (b) if the adult was of no settled residence immediately before the accommodation was provided, in the area in which the adult was present at that time.
  • (6) “NHS accommodation” means accommodation under—
  • (a) the National Health Service Act 2006,
  • (b) the National Health Service (Wales) Act 2006,
  • (c) the National Health Service (Scotland) Act 1978, or
  • (d) Article 5(1) of the Health and Personal Social Services (Northern Ireland) Order 1972.
  • (7) The reference in subsection (1) to this Part does not include a reference to section 28 (independent personal budget).
  • (8) Schedule 1 (which makes provision about cross-border placements to and from Wales, Scotland or Northern Ireland) has effect.

Disputes about ordinary residence or continuity of care

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  • (1) Any dispute about where an adult is ordinarily resident for the purposes of this Part, or any dispute between local authorities under section 37 about the application of that section, is to be determined by—
  • (a) the Secretary of State, or
  • (b) where the Secretary of State appoints a person for that purpose (the “appointed person”), that person.
  • (2) The Secretary of State or appointed person may review a determination under subsection (1), provided that the review begins within 3 months of the date of the determination.
  • (3) Having carried out a review under subsection (2), the Secretary of State or appointed person must—
  • (a) confirm the original determination, or
  • (b) substitute a different determination.
  • (4) Regulations may make further provision about resolution of disputes of the type mentioned in subsection (1); the regulations may, for example, include—
  • (a) provision for ensuring that care and support is provided to the adult while the dispute is unresolved;
  • (b) provision requiring the local authorities in dispute to take specified steps before referring the dispute to the Secretary of State or (as the case may be) the appointed person;
  • (c) provision about the procedure for referring the dispute to the Secretary of State or appointed person;
  • (d) where a review of a determination has been carried out under subsection (2) and a different determination substituted, provision requiring a local authority to take specified steps (including paying specified amounts) in relation to the period before the determination was substituted.

Financial adjustments between local authorities

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  • (1) This section applies where—
  • (a) a local authority has been meeting an adult's needs for care and support, but
  • (b) it transpires (whether following the determination of a dispute under section 40 or otherwise) that the adult was, for some or all of the time that the authority has been meeting the adult's needs, ordinarily resident in the area of another local authority.
  • (2) This section also applies where—
  • (a) a local authority has been meeting a carer's needs for support, but
  • (b) it transpires (whether following the determination of a dispute under section 40 or otherwise) that the adult needing care was, for some or all of the time that the authority has been meeting the carer's needs, ordinarily resident in the area of another local authority.
  • (3) The local authority concerned may recover from the other local authority the amount of any payments it made towards meeting the needs in question at a time when the other local authority was instead liable to meet them under section 18 or 20(1) (as the case may be).
  • (4) Subsection (3) does not apply to payments which are the subject of a deferred payment agreement entered into by the local authority in question, unless it agrees with the other local authority to assign its rights and obligations under the deferred payment agreement to that other authority.
  • (5) Any period during which a local authority was meeting the needs in question under section 19 or 20(6) is to be disregarded for the purposes of this section.

Safeguarding adults at risk of abuse or neglect

Enquiry by local authority

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  • (1) This section applies where a local authority has reasonable cause to suspect that an adult in its area (whether or not ordinarily resident there)—
  • (a) has needs for care and support (whether or not the authority is meeting any of those needs),
  • (b) is experiencing, or is at risk of, abuse or neglect, and
  • (c) as a result of those needs is unable to protect himself or herself against the abuse or neglect or the risk of it.
  • (2) The local authority must make (or cause to be made) whatever enquiries it thinks necessary to enable it to decide whether any action should be taken in the adult's case (whether under this Part or otherwise) and, if so, what and by whom.
  • (3) “Abuse” includes financial abuse; and for that purpose “financial abuse” includes—
  • (a) having money or other property stolen,
  • (b) being defrauded,
  • (c) being put under pressure in relation to money or other property, and
  • (d) having money or other property misused.

Safeguarding Adults Boards

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  • (1) Each local authority must establish a Safeguarding Adults Board (an “SAB”) for its area.
  • (2) The objective of an SAB is to help and protect adults in its area in cases of the kind described in section 42(1).
  • (3) The way in which an SAB must seek to achieve its objective is by co-ordinating and ensuring the effectiveness of what each of its members does.
  • (4) An SAB may do anything which appears to it to be necessary or desirable for the purpose of achieving its objective.
  • (5) Schedule 2 (which includes provision about the membership, funding and other resources, strategy and annual report of an SAB) has effect.
  • (6) Where two or more local authorities exercise their respective duties under subsection (1) by establishing an SAB for their combined area—
  • (a) a reference in this section, section 44 or Schedule 2 to the authority establishing the SAB is to be read as a reference to the authorities establishing it, and
  • (b) a reference in this section, that section or that Schedule to the SAB's area is to be read as a reference to the combined area.

Safeguarding adults reviews

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  • (1) An SAB must arrange for there to be a review of a case involving an adult in its area with needs for care and support (whether or not the local authority has been meeting any of those needs) if—
  • (a) there is reasonable cause for concern about how the SAB, members of it or other persons with relevant functions worked together to safeguard the adult, and
  • (b) condition 1 or 2 is met.
  • (2) Condition 1 is met if—
  • (a) the adult has died, and
  • (b) the SAB knows or suspects that the death resulted from abuse or neglect (whether or not it knew about or suspected the abuse or neglect before the adult died).
  • (3) Condition 2 is met if—
  • (a) the adult is still alive, and
  • (b) the SAB knows or suspects that the adult has experienced serious abuse or neglect.
  • (4) An SAB may arrange for there to be a review of any other case involving an adult in its area with needs for care and support (whether or not the local authority has been meeting any of those needs).
  • (5) Each member of the SAB must co-operate in and contribute to the carrying out of a review under this section with a view to—
  • (a) identifying the lessons to be learnt from the adult's case, and
  • (b) applying those lessons to future cases.

Supply of information

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  • (1) If an SAB requests a person to supply information to it, or to some other person specified in the request, the person to whom the request is made must comply with the request if—
  • (a) conditions 1 and 2 are met, and
  • (b) condition 3 or 4 is met.
  • (2) Condition 1 is that the request is made for the purpose of enabling or assisting the SAB to exercise its functions.
  • (3) Condition 2 is that the request is made to a person whose functions or activities the SAB considers to be such that the person is likely to have information relevant to the exercise of a function by the SAB.
  • (4) Condition 3 is that the information relates to—
  • (a) the person to whom the request is made,
  • (b) a function or activity of that person, or
  • (c) a person in respect of whom that person exercises a function or engages in an activity.
  • (5) Condition 4 is that the information—
  • (a) is information requested by the SAB from a person to whom information was supplied in compliance with another request under this section, and
  • (b) is the same as, or is derived from, information so supplied.
  • (6) Information may be used by the SAB, or other person to whom it is supplied under subsection (1), only for the purpose of enabling or assisting the SAB to exercise its functions.

Abolition of local authority’s power to remove persons in need of care

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Section 47 of the National Assistance Act 1948 (which gives a local authority power to remove a person in need of care from home) ceases to apply to persons in England.

Protecting property of adults being cared for away from home

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  • (1) This section applies where—
  • (a) an adult is having needs for care and support met under section 18 or 19 in a way that involves the provision of accommodation, or is admitted to hospital (or both), and
  • (b) it appears to a local authority that there is a danger of loss or damage to movable property of the adult's in the authority's area because—
  • (i) the adult is unable (whether permanently or temporarily) to protect or deal with the property, and
  • (ii) no suitable arrangements have been or are being made.
  • (2) The local authority must take reasonable steps to prevent or mitigate the loss or damage.
  • (3) For the purpose of performing that duty, the local authority—
  • (a) may at all reasonable times and on reasonable notice enter any premises which the adult was living in immediately before being provided with accommodation or admitted to hospital, and
  • (b) may deal with any of the adult's movable property in any way which is reasonably necessary for preventing or mitigating loss or damage.
  • (4) A local authority may not exercise the power under subsection (3)(a) unless—
  • (a) it has obtained the consent of the adult concerned or, where the adult lacks capacity to give consent, the consent of a person authorised under the Mental Capacity Act 2005 to give it on the adult's behalf, or
  • (b) where the adult lacks capacity to give consent and there is no person so authorised, the local authority is satisfied that exercising the power would be in the adult's best interests.
  • (5) Where a local authority is proposing to exercise the power under subsection (3)(a), the officer it authorises to do so must, if required, produce valid documentation setting out the authorisation to do so.
  • (6) A person who, without reasonable excuse, obstructs the exercise of the power under subsection (3)(a)—
  • (a) commits an offence, and
  • (b) is liable on summary conviction to a fine not exceeding level 4 on the standard scale.
  • (7) A local authority may recover from an adult whatever reasonable expenses the authority incurs under this section in the adult's case.

Provider failure

Temporary duty on local authority

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  • (1) This section applies where a person registered under Chapter 2 of Part 1 of the Health and Social Care Act 2008 (a “registered care provider”) in respect of the carrying on of a regulated activity (within the meaning of that Part) becomes unable to carry on that activity because of business failure.
  • (2) A local authority must for so long as it considers necessary (and in so far as it is not already required to do so) meet those of an adult's needs for care and support and those of a carer's needs for support which were, immediately before the registered care provider became unable to carry on the regulated activity, being met by the carrying on of that activity in the authority's area by the provider.
  • (3) A local authority is accordingly required to meet needs under subsection (2) regardless of—
  • (a) whether the relevant adult is ordinarily resident in its area;
  • (b) whether the authority has carried out a needs assessment, a carer's assessment or a financial assessment;
  • (c) whether any of the needs meet the eligibility criteria.
  • (4) Where a local authority is meeting needs under subsection (2), it is not required to carry out a needs assessment, a carer's assessment or a financial assessment or to determine whether any of the needs meet the eligibility criteria.
  • (5) A local authority may make a charge for meeting needs under subsection (2) (except in so far as doing so involves the provision of information or advice); and a charge under this subsection may cover only the cost that the local authority incurs in meeting the needs to which the charge applies.
  • (6) Subsection (5) does not apply if section 49 (cross-border cases) applies (see subsection (3) of that section).
  • (7) If the relevant adult is not ordinarily resident in the area of the local authority which is required to meet needs under subsection (2), that authority—
  • (a) must, in meeting needs under that subsection which were being met under arrangements made by another local authority, co-operate with that authority (in so far as it is not already required to do so by section 6);
  • (b) must, in meeting needs under that subsection which were being met under arrangements all or part of the cost of which was paid for by another local authority by means of direct payments, co-operate with that authority (in so far as it is not already required to do so by section 6);
  • (c) may recover from the other local authority mentioned in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult's or carer's needs referred to in the paragraph in question.
  • (8) Any dispute between local authorities about the application of this section is to be determined under section 40 as if it were a dispute of the type mentioned in subsection (1) of that section.
  • (9) “The relevant adult” means—
  • (a) in a case involving an adult's needs for care and support, that adult;
  • (b) in a case involving a carer's needs for support, the adult needing care.

Section 48: cross-border cases

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  • (1) This section applies where, in a case within section 48, immediately before the registered care provider became unable to carry on the regulated activity, some or all of the adult's needs for care and support or the carer's needs for support were being met by the carrying on of that activity by the provider under arrangements made—
  • (a) by a local authority in Wales discharging its duty under section 35 or 40, or exercising its power under section 36 or 45, of the Social Services and Well-being (Wales) Act 2014,
  • (b) by a local authority in Scotland discharging its duty under section 12 or 13A of the Social Work (Scotland) Act 1968 or section 25 of the Mental Health (Care and Treatment) (Scotland) Act 2003, or
  • (c) by a Health and Social Care trust under Article 15 of the Health and Personal Social Services (Northern Ireland) Order 1972 or section 2 of the Carers and Direct Payments Act (Northern Ireland) 2002.
  • (2) This section also applies where, in a case within section 48—
  • (a) immediately before the registered care provider became unable to carry on the regulated activity, some or all of the adult's needs for care and support or the carer's needs for support were being met by the carrying on of that activity by the provider, and
  • (b) all or part of the cost of the accommodation or other services provided by the provider to meet those needs was paid for by means of direct payments made—
  • (i) under section 49A(1)(a) or (c) of or Schedule A1 to the Social Services and Well-being (Wales) Act 2014,
  • (ii) as a result of a choice made by the adult pursuant to section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013, or
  • (iii) by virtue of section 8 of the Carers and Direct Payments Act (Northern Ireland) 2002.
  • (3) The local authority which is required to meet needs under section 48(2)—
  • (a) must, in meeting needs under section 48(2) which were being met by the authority which made the arrangements referred to in subsection (1), co-operate with that authority;
  • (b) must, in meeting needs under section 48(2) which were being met by the provision of accommodation or other services all or part of the cost of which was paid for by an authority by means of direct payments as referred to in subsection (2), co-operate with that authority;
  • (c) may recover from the authority referred to in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult's or carer's needs referred to in the paragraph in question;
  • (d) may recover from the adult or carer the cost it incurs in meeting those of the adult's or carer's needs other than those referred to in paragraph (a) or (b) (as the case may be).
  • (4) Any dispute between a local authority and a local authority in Wales, a local authority in Scotland or a Health and Social Care trust about the application of section 48 or of this section is to be resolved in accordance with paragraph 5 of Schedule 1.
  • (5) “Local authority in Wales” and “local authority in Scotland” each have the meaning given in paragraph 12 of Schedule 1.
  • (6) The references in paragraphs (a) and (b) of subsection (3) to an authority are references to a local authority in Wales, a local authority in Scotland or a Health and Social Care trust (as the case may be).

Temporary duty on local authority in Wales

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  • (1) This section applies where a person registered under Part 2 of the Care Standards Act 2000 in respect of an establishment or agency or registered under Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016 in respect of a regulated service—
  • (a) becomes unable to carry on or manage the establishment or agency or regulated service because of business failure, and
  • (b) immediately before becoming unable to do so, was providing an adult with accommodation or other services in Wales under arrangements made—
  • (i) by a local authority meeting an adult's needs for care and support or a carer's needs for support under this Part,
  • (ii) by a local authority in Scotland discharging its duty under section 12 or 13A of the Social Work (Scotland) Act 1968 or section 25 of the Mental Health (Care and Treatment) (Scotland) Act 2003, or
  • (iii) by a Health and Social Care trust under Article 15 of the Health and Personal Social Services (Northern Ireland) Order 1972 or section 2 of the Carers and Direct Payments Act (Northern Ireland) 2002.
  • (2) This section also applies where a person registered under Part 2 of the Care Standards Act 2000 in respect of an establishment or agency or registered under Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016 in respect of a regulated service—
  • (a) becomes unable to carry on or manage the establishment or agency or regulated service because of business failure, and
  • (b) immediately before becoming unable to do so, was providing an adult with accommodation or other services in Wales all or part of the cost of which was paid for by means of direct payments made—
  • (i) under this Part of this Act,
  • (ii) as a result of a choice made by the adult pursuant to section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013, or
  • (iii) by virtue of section 8 of the Carers and Direct Payments Act (Northern Ireland) 2002.
  • (3) The local authority in Wales in whose area the accommodation is situated or the services were provided must for so long as it considers necessary meet those of the adult's needs for care and support or the carer's needs for support which were being met by the registered person by the provision of the accommodation or other services.
  • (4) A local authority in Wales which is required to meet needs under subsection (3)—
  • (a) must, in meeting needs under that subsection which were being met by the authority which made the arrangements referred to in subsection (1)(b), co-operate with that authority;
  • (b) must, in meeting needs under subsection (3) which were being met by the provision of accommodation or other services all or part of the cost of which was paid for by an authority by means of direct payments as referred to in subsection (2)(b), co-operate with that authority;
  • (c) may recover from the authority referred to in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult's or carer's needs referred to in the paragraph in question.
  • (5) Any dispute about the application of this section is to be resolved in accordance with paragraph 5 of Schedule 1.
  • (6) “Local authority in Wales” and “local authority in Scotland” each have the meaning given in paragraph 12 of Schedule 1.
  • (7) The references in paragraphs (a) and (b) of subsection (4) to an authority are references to a local authority, a local authority in Scotland or a Health and Social Care trust (as the case may be).
  • (8) In this section “regulated service” has the meaning given by section 2 of the Regulation and Inspection of Social Care (Wales) Act 2016.

Temporary duty on Health and Social Care trust in Northern Ireland

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  • (1) This section applies where a person registered under Part 3 of the Health and Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003 in respect of an establishment or agency—
  • (a) becomes unable to carry on or manage the establishment or agency because of business failure, and
  • (b) immediately before becoming unable to do so, was providing an adult with accommodation or other services in Northern Ireland under arrangements made—
  • (i) by a local authority meeting an adult's needs for care and support or a carer's needs for support under this Part,
  • (ii) by a local authority in Wales discharging its duty under section 35 or 40, or exercising its power under section 36 or 45, of the Social Services and Well-being (Wales) Act 2014, or
  • (iii) by a local authority in Scotland discharging its duty under section 12 or 13A of the Social Work (Scotland) Act 1968 or section 25 of the Mental Health (Care and Treatment) (Scotland) Act 2003.
  • (2) This section also applies where a person registered under Part 3 of the Health and Personal Social Services (Quality, Improvement and Regulation) (Northern Ireland) Order 2003 in respect of an establishment or agency—
  • (a) becomes unable to carry on or manage the establishment or agency because of business failure, and
  • (b) immediately before becoming unable to do so, was providing an adult with accommodation or other services in Northern Ireland, all or part of the cost of which was paid for by means of direct payments made—
  • (i) under this Part of this Act,
  • (ii) under section 49A(1)(a) or (c) of or Schedule A1 to the Social Services and Well-being (Wales) Act 2014, or
  • (iii) as a result of a choice made by the adult pursuant to section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013.
  • (3) The Health and Social Care trust in whose area the accommodation is situated or the services were provided must for so long as it considers necessary meet those of the adult's needs for care and support or the carer's needs for support which were being met by the registered person by the provision of the accommodation or other services.
  • (4) A Health and Social Care trust which is required to meet needs under subsection (3)—
  • (a) must, in meeting needs under that subsection which were being met by the authority which made the arrangements referred to in subsection (1)(b), co-operate with that authority;
  • (b) must, in meeting needs under subsection (3) which were being met by the provision of accommodation or other services all or part of the cost of which was paid for by an authority by means of direct payments as referred to in subsection (2)(b), co-operate with that authority;
  • (c) may recover from the authority referred to in paragraph (a) or (b) (as the case may be) the cost it incurs in meeting those of the adult's or carer's needs referred to in the paragraph in question.
  • (5) Any dispute about the application of this section is to be resolved in accordance with paragraph 5 of Schedule 1.
  • (6) “Local authority in Wales” and “local authority in Scotland” each have the meaning given in paragraph 12 of Schedule 1.
  • (7) The references in paragraphs (a) and (b) of subsection (4) to an authority are references to a local authority, a local authority in Wales or a local authority in Scotland (as the case may be).

Sections 48 to 51: supplementary

52
  • (1) An authority becomes subject to the duty under section 48(2), 50(3) or 51(3) as soon as it becomes aware of the business failure.
  • (2) Section 8 (how to meet needs) applies to meeting needs under section 48(2) as it applies to meeting needs under section 18.
  • (3) Section 34 of the Social Services and Well-being (Wales) Act 2014 (how to meet needs) applies to meeting needs under section 50(3) as it applies to meeting needs under section 35 of that Act.
  • (4) In deciding how to meet an adult's needs for care and support under section 48(2), 50(3) or 51(3), an authority must involve—
  • (a) the adult,
  • (b) any carer that the adult has, and
  • (c) any person whom the adult asks the authority to involve or, where the adult lacks capacity to ask the authority to do that, any person who appears to the authority to be interested in the adult's welfare.
  • (5) In deciding how to meet a carer's needs for support under section 48(2), 50(3) or 51(3), an authority must involve—
  • (a) the carer, and
  • (b) any person whom the carer asks the authority to involve.
  • (6) In carrying out the duty under subsection (4)(a) or (5)(a), an authority must take all reasonable steps to reach agreement with the adult or carer about how it should meet the needs in question.
  • (7) Sections 21 to 23 (exceptions to duty to meet needs) apply to meeting needs under section 48(2) as they apply to meeting needs under section 18.
  • (8) Sections 46 to 49 of the Social Services and Well-being (Wales) Act 2014 (exceptions to, and restrictions on, duty to meet needs) apply to meeting needs under section 50(3) as they apply to meeting needs under section 35 of that Act.
  • (9) Where an adult whose case comes within section 48 is being provided with NHS continuing healthcare under arrangements made by an integrated care board no part of whose area is in the local authority's area, the board is to be treated as a relevant partner of the authority for the purposes of sections 6 and 7.
  • (10) “NHS continuing healthcare” is to be construed in accordance with standing rules under section 6E of the National Health Service Act 2006.
  • (11) Where a local authority considers it necessary to do so for the purpose of carrying out its duty under section 48(2), it may request the registered care provider, or such other person involved in the provider's business as it considers appropriate, to provide it with specified information.
  • (12) Regulations must make provision as to the interpretation for the purposes of sections 48, 50 and 51 and this section of references to business failure or to being unable to do something because of business failure; and the regulations may, in particular, specify circumstances in which a person is to be treated as unable to do something because of business failure.
  • (13) Pending the commencement of Part 4 of the Social Services and Well-being (Wales) Act 2014—
  • (a) a reference in section 49 or 51 to making arrangements to meet needs under section 35 or 36 of that Act is to be read as a reference to making arrangements or providing services under—
  • (i) Part 3 of the National Assistance Act 1948,
  • (ii) section 45 of the Health Services and Public Health Act 1968,
  • (iii) section 117 of the Mental Health Act 1983, or
  • (iv) Schedule 15 to the National Health Service (Wales) Act 2006;
  • (b) a reference in section 49 or 51 to making arrangements to meet needs under section 40 or 45 of that Act is to be read as a reference to providing services as referred to in section 2 of the Carers and Disabled Children Act 2000;
  • (c) a reference in section 49 or 51 to making direct payments under section 50 or 52 of that Act is to be read as a reference to making direct payments by virtue of section 57 of the Health and Social Care Act 2001;
  • (d) subsection (8) is to be read as if there were substituted for it—

(8) Sections 21(1A) and (8) and 29(6) of the National Assistance Act 1948 apply to meeting needs under section 50(3) as they apply to the exercise of functions under sections 21 and 29 of that Act by a local authority in Wales (within the meaning given in paragraph 12 of Schedule 1).

  • (14) Pending the commencement of section 5 of the Social Care (Self-directed Support) (Scotland) Act 2013—
  • (a) sections 49(2)(b)(ii) and 50(2)(b)(ii) are to be read as if there were substituted for each of them—

(ii) under section 12B of the Social Work (Scotland) Act 1968,

, and

  • (b) section 51(2)(b)(iii) is to be read as if there were substituted for it—

(iii) under section 12B of the Social Work (Scotland) Act 1968.

.

Market oversight

Specifying criteria for application of market oversight regime

53
  • (1) Regulations must specify criteria for determining whether (subject to regulations under subsection (4)) section 55 (financial sustainability assessment) applies to a registered care provider who is registered in respect of the carrying on of a regulated activity relating to the provision of social care for adults.
  • (2) In specifying the criteria, the Secretary of State must have regard to the following in particular—
  • (a) the amount of social care provided by a registered care provider,
  • (b) the geographical concentration of a registered care provider's business,
  • (c) the extent to which a registered care provider specialises in the provision of particular types of care.
  • (3) The Secretary of State must—
  • (a) at such times as the Secretary of State considers appropriate, review the criteria for the time being specified in the regulations, and
  • (b) publish information about how the matters mentioned in subsection (2), and any other matters to which the Secretary of State has regard in specifying the criteria, are to be measured.
  • (4) Regulations may provide that section 55 does not apply, or applies only to the extent specified, to a specified registered care provider or to a registered care provider of a specified description, regardless of whether that provider or a provider of that description would satisfy the criteria.
  • (5) Regulations may provide that section 55 applies, or applies to the extent specified, to a specified registered care provider or to a registered care provider of a specified description, regardless of whether that provider or a provider of that description would satisfy the criteria.
  • (6) The circumstances in which regulations may be made under subsection (4) include those in which the Secretary of State is satisfied that certain registered care providers are already subject to a regulatory regime comparable to that provided for by sections 55 and 56; and regulations made in such circumstances may, for example, make provision requiring specified persons to co-operate or to share information of a specified description.
  • (7) “Social care” has the same meaning as in Part 1 of the Health and Social Care Act 2008.

Determining whether criteria apply to care provider

54
  • (1) The Care Quality Commission must determine, in the case of each registered care provider, whether the provider satisfies one or more of the criteria specified in regulations under section 53.
  • (2) If the Commission determines that the provider satisfies one or more of the criteria, section 55 applies to that provider unless, or except in so far as, regulations under section 53(4) provide that it does not apply.
  • (3) Where section 55 applies to a registered care provider (whether as a result of subsection (2) or as a result of regulations under section 53(5)), the Commission must inform the provider accordingly.

Assessment of financial sustainability of care provider

55
  • (1) Where this section applies to a registered care provider, the Care Quality Commission must assess the financial sustainability of the provider's business of carrying on the regulated activity in respect of which it is registered.
  • (2) Where the Commission, in light of an assessment under subsection (1), considers that there is a significant risk to the financial sustainability of the provider's business, it may—
  • (a) require the provider to develop a plan for how to mitigate or eliminate the risk;
  • (b) arrange for, or require the provider to arrange for, a person with appropriate professional expertise to carry out an independent review of the business.
  • (3) Where the Commission imposes a requirement on a care provider under subsection (2)(a), it may also require the provider—
  • (a) to co-operate with it in developing the plan, and
  • (b) to obtain its approval of the finalised plan.
  • (4) Where the Commission arranges for a review under subsection (2)(b), it may recover from the provider such costs as the Commission incurs in connection with the arrangements (other than its administrative costs in making the arrangements).
  • (5) Regulations may make provision for enabling the Commission to obtain from such persons as it considers appropriate information which the Commission believes will assist it to assess the financial sustainability of a registered care provider to which this section applies.
  • (6) Regulations may make provision about the making of the assessment required by subsection (1).
  • (7) The Commission may consult such persons as it considers appropriate on the method for assessing the financial sustainability of a registered care provider's business; and, having done so, it must publish guidance on the method it expects to apply in making the assessment.

Informing local authorities where failure of care provider likely

56
  • (1) This section applies where the Care Quality Commission is satisfied that a registered care provider to which section 55 applies is likely to become unable to carry on the regulated activity in respect of which it is registered because of business failure as mentioned in section 48.
  • (2) The Commission must inform the local authorities which it thinks will be required to carry out the duty under section 48(2) if the provider becomes unable to carry on the regulated activity in question.
  • (3) Where the Commission considers it necessary to do so for the purpose of assisting a local authority to carry out the duty under section 48(2), it may request the provider, or such other person involved in the provider's business as the Commission considers appropriate, to provide it with specified information.
  • (4) Where (as a result of subsection (3) or otherwise) the Commission has information about the provider's business that it considers may assist a local authority in carrying out the duty under section 48(2), the Commission must give the information to the local authority.
  • (5) Regulations may make provision as to the circumstances in which the Commission is entitled to be satisfied for the purposes of subsection (1) that a registered care provider is likely to become unable to carry on a regulated activity.
  • (6) The Commission may consult such persons as it considers appropriate on the methods to apply in assessing likelihood for the purposes of subsection (1); and, having carried out that consultation, it must publish guidance on the methods it expects to apply in making the assessment.

Sections 54 to 56: supplementary

57
  • (1) For the purposes of Part 1 of the Health and Social Care Act 2008, the duties imposed on the Care Quality Commission under sections 54(1) and 55(1) are to be treated as regulatory functions of the Commission.
  • (2) For the purposes of that Part of that Act, the doing by the Commission of anything for the purpose of assisting a local authority to carry out the duty under section 48(2) is to be treated as one of the Commission's regulatory functions.
  • (3) For the purposes of sections 17 and 18 of that Act (cancellation or suspension of registration under Part 1 of that Act), a requirement imposed on a registered care provider under or by virtue of any of sections 54 to 56 (or by virtue of subsection (1) or (2)) is to be treated as a requirement imposed by or under Chapter 6 of Part 1 of that Act.
  • (4) The Commission must, in exercising any of its functions under sections 54 to 56, have regard to the need to minimise the burdens it imposes on others.

Transition for children to adult care and support, etc.

Assessment of a child’s needs for care and support

58
  • (1) Where it appears to a local authority that a child is likely to have needs for care and support after becoming 18, the authority must, if it is satisfied that it would be of significant benefit to the child to do so and if the consent condition is met, assess—
  • (a) whether the child has needs for care and support and, if so, what those needs are, and
  • (b) whether the child is likely to have needs for care and support after becoming 18 and, if so, what those needs are likely to be.
  • (2) An assessment under subsection (1) is referred to in this Part as a “child's needs assessment”.
  • (3) The consent condition is met if—
  • (a) the child has capacity or is competent to consent to a child's needs assessment being carried out and the child does so consent, or
  • (b) the child lacks capacity or is not competent so to consent but the authority is satisfied that carrying out a child's needs assessment would be in the child's best interests.
  • (4) Where a child refuses a child's needs assessment and the consent condition is accordingly not met, the local authority must nonetheless carry out the assessment if the child is experiencing, or is at risk of, abuse or neglect.
  • (5) Where a local authority, having received a request to carry out a child's assessment from the child concerned or a parent or carer of the child, decides not to comply with the request, it must give the person who made the request—
  • (a) written reasons for its decision, and
  • (b) information and advice about what can be done to prevent or delay the development by the child of needs for care and support in the future.
  • (6) “Parent”, in relation to a child, includes—
  • (a) a parent of the child who does not have parental responsibility for the child, and
  • (b) a person who is not a parent of the child but who has parental responsibility for the child.
  • (7) “Carer”, in relation to a child, means a person, other than a parent, who is providing care for the child, whether or not under or by virtue of a contract or as voluntary work.
  • (8) The reference to providing care includes a reference to providing practical or emotional support.

Child’s needs assessment: requirements etc.

59
  • (1) A child's needs assessment must include an assessment of—
  • (a) the impact on the matters specified in section 1(2) of what the child's needs for care and support are likely to be after the child becomes 18,
  • (b) the outcomes that the child wishes to achieve in day-to-day life, and
  • (c) whether, and if so to what extent, the provision of care and support could contribute to the achievement of those outcomes.
  • (2) A local authority, in carrying out a child's needs assessment, must involve—
  • (a) the child,
  • (b) the child's parents and any carer that the child has, and
  • (c) any person whom the child or a parent or carer of the child requests the local authority to involve.
  • (3) When carrying out a child's needs assessment, a local authority must also consider whether, and if so to what extent, matters other than the provision of care and support could contribute to the achievement of the outcomes that the child wishes to achieve in day-to-day life.
  • (4) Having carried out a child's needs assessment, a local authority must give the child—
  • (a) an indication as to whether any of the needs for care and support which it thinks the child is likely to have after becoming 18 are likely to meet the eligibility criteria (and, if so, which ones are likely to do so), and
  • (b) advice and information about—
  • (i) what can be done to meet or reduce the needs which it thinks the child is likely to have after becoming 18;
  • (ii) what can be done to prevent or delay the development by the child of needs for care and support in the future.
  • (5) But in a case where the child is not competent or lacks capacity to understand the things which the local authority is required to give under subsection (4), that subsection is to have effect as if for “must give the child” there were substituted “ must give the child's parents ”.
  • (6) Where a person to whom a child's needs assessment relates becomes 18, the local authority must decide whether to treat the assessment as a needs assessment; and if the authority decides to do so, this Part applies to the child's needs assessment as if it were a needs assessment that had been carried out after the person had become 18.
  • (7) In considering what to decide under subsection (6), a local authority must have regard to—
  • (a) when the child's needs assessment was carried out, and
  • (b) whether it appears to the authority that the circumstances of the person to whom the child's needs assessment relates have changed in a way that might affect the assessment.
  • (8) “Carer” has the same meaning as in section 58.

Assessment of a child’s carer’s needs for support

60
  • (1) Where it appears to a local authority that a carer of a child is likely to have needs for support after the child becomes 18, the authority must, if it is satisfied that it would be of significant benefit to the carer to do so, assess—
  • (a) whether the carer has needs for support and, if so, what those needs are, and
  • (b) whether the carer is likely to have needs for support after the child becomes 18 and, if so, what those needs are likely to be.
  • (2) An assessment under subsection (1) is referred to in this Part as a “child's carer's assessment”.
  • (3) Where a child's carer refuses a child's carer's assessment, the local authority is not required to carry out the assessment (and subsection (1) does not apply in the carer's case).
  • (4) Where, having refused a child's carer's assessment, a child's carer requests the assessment, subsection (1) applies in the carer's case (and subsection (3) does not).
  • (5) Where a child's carer has refused a child's carer's assessment and the local authority concerned thinks that the carer's needs or circumstances have changed, subsection (1) applies in the carer's case (but subject to further refusal as mentioned in subsection (3)).
  • (6) Where a local authority, having received a request to carry out a child's carer's assessment from the carer concerned, decides not to comply with the request, it must give the carer—
  • (a) written reasons for its decision, and
  • (b) information and advice about what can be done to prevent or delay the development by the carer of needs for support in the future.
  • (7) “Carer”, in relation to a child, means an adult (including one who is a parent of the child) who provides or intends to provide care for the child (but see subsection (8)).
  • (8) An adult is not a carer for the purposes of this section if the adult provides or intends to provide care—
  • (a) under or by virtue of a contract, or
  • (b) as voluntary work.
  • (9) But in a case where the local authority considers that the relationship between the child and the adult providing or intending to provide care is such that it would be appropriate for the adult to be regarded as a carer, the adult is to be regarded as such (and subsection (8) is therefore to be ignored in that case).
  • (10) The references to providing care include a reference to providing practical or emotional support.

Child’s carer’s assessment: requirements etc.

61
  • (1) A child's carer's assessment must include an assessment of—
  • (a) whether the carer is able to provide care for the child and is likely to continue to be able to do so after the child becomes 18,
  • (b) whether the carer is willing to do so and is likely to continue to be willing to do so after the child becomes 18,
  • (c) the impact on the matters specified in section 1(2) of what the carer's needs for support are likely to be after the child becomes 18,
  • (d) the outcomes that the carer wishes to achieve in day-to-day life, and
  • (e) whether, and if so to what extent, the provision of support could contribute to the achievement of those outcomes.
  • (2) A local authority, in carrying out a child's carer's assessment, must have regard to—
  • (a) whether the carer works or wishes to do so, and
  • (b) whether the carer is participating in or wishes to participate in education, training or recreation.
  • (3) A local authority, in carrying out a child's carer's assessment, must involve—
  • (a) the carer, and
  • (b) any person whom the carer asks the local authority to involve.
  • (4) When carrying out a child's carer's assessment, a local authority must also consider whether, and if so to what extent, matters other than the provision of support could contribute to the achievement of the outcomes that the carer wishes to achieve in day-to-day life.
  • (5) Having carried out a child's carer's assessment, a local authority must give the carer—
  • (a) an indication as to whether any of the needs for support which it thinks the carer is likely to have after the child becomes 18 are likely to meet the eligibility criteria (and, if so, which ones are likely to do so), and
  • (b) advice and information about—
  • (i) what can be done to meet or reduce the needs which it thinks the carer is likely to have after the child becomes 18;
  • (ii) what can be done to prevent or delay the development by the carer of needs for support in the future.
  • (6) Where, in the case of a carer to whom a child's carer's assessment relates, the child becomes 18, the local authority must decide whether to treat the assessment as a carer's assessment; and if the authority decides to do so, this Part applies to the child's carer's assessment as if it were a carer's assessment that had been carried out after the child had become 18.
  • (7) In considering what to decide under subsection (6), a local authority must have regard to—
  • (a) when the child's carer's assessment was carried out, and
  • (b) whether it appears to the authority that the circumstances of the carer to whom the child's carer's assessment relates have changed in a way that might affect the assessment.
  • (8) “Carer” has the same meaning as in section 60.

Power to meet child’s carer’s needs for support

62
  • (1) Where a local authority, having carried out a child's carer's assessment, is satisfied that the carer has needs for support, it may meet such of those needs as it considers appropriate.
  • (2) Regulations may make provision in connection with the exercise of the power under subsection (1); the regulations may, in particular, provide for provisions of this Part to apply with such modifications as may be specified.
  • (3) In deciding whether or how to exercise the power under subsection (1), a local authority must have regard to any services being provided to the carer under—
  • (a) section 17 of the Children Act 1989, or
  • (b) sections 37 to 39 of the Social Services and Well-being (Wales) Act 2014.
  • (4) “Carer” has the same meaning as in section 60.

Assessment of a young carer’s needs for support

63
  • (1) Where it appears to a local authority that a young carer is likely to have needs for support after becoming 18, the authority must, if it is satisfied that it would be of significant benefit to the young carer to do so and if the consent condition is met, assess—
  • (a) whether the young carer has needs for support and, if so, what those needs are, and
  • (b) whether the young carer is likely to have needs for support after becoming 18 and, if so, what those needs are likely to be.
  • (2) An assessment under subsection (1) is referred to in this Part as a “young carer's assessment”.
  • (3) The consent condition is met if—
  • (a) the young carer has capacity or is competent to consent to a young carer's assessment being carried out and the young carer does so consent, or
  • (b) the young carer lacks capacity or is not competent so to consent but the authority is satisfied that carrying out a young carer's assessment would be in the young carer's best interests.
  • (4) Where a young carer refuses a young carer's assessment and the consent condition is accordingly not met, the local authority must nonetheless carry out the assessment if the young carer is experiencing, or is at risk of, abuse or neglect.
  • (5) Where a local authority, having received a request to carry out a young carer's assessment from the young carer concerned or a parent of the young carer, decides not to comply with the request, it must give the person who made the request—
  • (a) written reasons for its decision, and
  • (b) advice and information about what can be done to prevent or delay the development by the young carer of needs for support in the future.
  • (6) “Young carer” means a person under 18 who provides or intends to provide care for an adult (but see subsection (7)).
  • (7) A person is not a young carer for the purposes of this section if the person provides or intends to provide care—
  • (a) under or by virtue of a contract, or
  • (b) as voluntary work.
  • (8) But in a case where the local authority considers that the relationship between the adult and the person under 18 providing or intending to provide care is such that it would be appropriate for the person under 18 to be regarded as a young carer, that person is to be regarded as such (and subsection (7) is therefore to be ignored in that case).
  • (9) The references to providing care include a reference to providing practical or emotional support.

Young carer’s assessment: requirements etc.

64
  • (1) A young carer's assessment must include an assessment of—
  • (a) whether the young carer is able to provide care for the person in question and is likely to continue to be able to do so after becoming 18,
  • (b) whether the young carer is willing to do so and is likely to continue to be willing to do so after becoming 18,
  • (c) the impact on the matters specified in section 1(2) of what the young carer's needs for support are likely to be after the young carer becomes 18,
  • (d) the outcomes that the young carer wishes to achieve in day-to-day life, and
  • (e) whether, and if so to what extent, the provision of support could contribute to the achievement of those outcomes.
  • (2) A local authority, in carrying out a young carer's assessment, must have regard to—
  • (a) the extent to which the young carer works or wishes to work (or is likely to wish to do so after becoming 18),
  • (b) the extent to which the young carer is participating in or wishes to participate in education, training or recreation (or is likely to wish to do so after becoming 18).
  • (3) A local authority, in carrying out a young carer's assessment, must involve—
  • (a) the young carer,
  • (b) the young carer's parents, and
  • (c) any person whom the young carer or a parent of the young carer requests the authority to involve.
  • (4) When carrying out a young carer's assessment, a local authority must also consider whether, and if so to what extent, matters other than the provision of support could contribute to the achievement of the outcomes that the young carer wishes to achieve in day-to-day life.
  • (5) Having carried out a young carer's assessment, a local authority must give the young carer—
  • (a) an indication as to whether any of the needs for support which it thinks the young carer is likely to have after becoming 18 are likely to meet the eligibility criteria (and, if so, which ones are likely to do so), and
  • (b) advice and information about—
  • (i) what can be done to meet or reduce the needs for support which it thinks the young carer is likely to have after becoming 18;
  • (ii) what can be done to prevent or delay the development by the young carer of needs for support in the future.
  • (6) But in a case where the young carer is not competent or lacks capacity to understand the things which the local authority is required to give under subsection (5), that subsection is to have effect as if for “must give the young carer” there were substituted “ must give the young carer's parents ”.
  • (7) Where a person to whom a young carer's assessment relates becomes 18, the local authority must decide whether to treat the assessment as a carer's assessment; and if the authority decides to do so, this Part applies to the young carer's assessment as if it were a carer's assessment that had been carried out after the person had become 18.
  • (8) In considering what to decide under subsection (7), a local authority must have regard to—
  • (a) when the young carer's assessment was carried out, and
  • (b) whether it appears to the authority that the circumstances of the person to whom the young carer's assessment relates have changed in a way that might affect the assessment.

Assessments under sections 58 to 64: further provision

65
  • (1) Regulations under section 12—
  • (a) may make such provision about carrying out a child's needs assessment as they may make about carrying out a needs assessment;
  • (b) may make such provision about carrying out a child's carer's assessment or a young carer's assessment as they may make about carrying out a carer's assessment.
  • (2) A local authority may combine a child's needs assessment or young carer's assessment with an assessment it is carrying out (whether or not under this Part) in relation to another person only if the consent condition is met in relation to the child to whom the child's needs or young carer's assessment relates and—
  • (a) where the combination would include an assessment relating to another child, the consent condition is met in relation to that other child;
  • (b) where the combination would include an assessment relating to an adult, the adult agrees.
  • (3) A local authority may combine a child's carer's assessment with an assessment it is carrying out (whether or not under this Part) in relation to another person only if the adult to whom the child's carer's assessment relates agrees and—
  • (a) where the combination would include an assessment relating to another adult, that other adult agrees, and
  • (b) where the combination would include an assessment relating to a child, the consent condition is met in relation to that child.
  • (4) The consent condition is met in relation to a child if—
  • (a) the child has capacity or is competent to agree to the assessments being combined and does so agree, or
  • (b) the child lacks capacity or is not competent so to agree but the local authority is satisfied that combining the assessments would be in the child's best interests.
  • (5) Where a local authority is carrying out a child's needs assessment, a child's carer's assessment or a young carer's assessment, and there is some other assessment being or about to be carried out in relation to the person to whom the assessment relates or in relation to a relevant person, the local authority may carry out that other assessment—
  • (a) on behalf of or jointly with the body responsible for carrying it out, or
  • (b) if that body has arranged to carry out the other assessment jointly with another person, jointly with that body and the other person.
  • (6) A reference to an assessment includes a reference to part of an assessment.
  • (7) A person is a “relevant person”, in relation to a child's needs, child's carer's or young carer's assessment, if it would be reasonable to combine an assessment relating to that person with the child's needs, child's carer's or young carer's assessment (as mentioned in subsections (2) and (3)).

Continuity of services under other legislation

66
  • (1) Before section 17A of the Children Act 1989 insert—

(17ZH) (1) Subsections (2) to (4) apply where a local authority in England providing services for a child in need in the exercise of functions conferred by section 17— (a) are required by section 58(1) or 63(1) of the Care Act 2014 to carry out a child's needs assessment or young carer's assessment in relation to the child, or (b) are required by section 60(1) of that Act to carry out a child's carer's assessment in relation to a carer of the child. (2) If the local authority carry out the assessment before the child reaches the age of 18 and decide to treat it as a needs or carer's assessment in accordance with section 59(6), 61(6) or 64(7) of the Care Act 2014 (with Part 1 of that Act applying to the assessment as a result), the authority must continue to comply with section 17 after the child reaches the age of 18 until they reach a conclusion in his case. (3) If the local authority carry out the assessment before the child reaches the age of 18 but decide not to treat it as a needs or carer's assessment in accordance with section 59(6), 61(6) or 64(7) of the Care Act 2014— (a) they must carry out a needs or carer's assessment (as the case may be) after the child reaches the age of 18, and (b) they must continue to comply with section 17 after he reaches that age until they reach a conclusion in his case. (4) If the local authority do not carry out the assessment before the child reaches the age of 18, they must continue to comply with section 17 after he reaches that age until— (a) they decide that the duty under section 9 or 10 of the Care Act 2014 (needs or carer's assessment) does not apply, or (b) having decided that the duty applies and having discharged it, they reach a conclusion in his case. (5) Subsection (6) applies where a local authority in England providing services for a child in need in the exercise of functions conferred by section 17— (a) receive a request for a child's needs assessment or young carer's assessment to be carried out in relation to the child or for a child's carer's assessment to be carried out in relation to a carer of the child, but (b) have yet to be required by section 58(1), 60(1) or 63(1) of the Care Act 2014 to carry out the assessment. (6) If the local authority do not decide, before the child reaches the age of 18, whether or not to comply with the request, they must continue to comply with section 17 after he reaches that age until— (a) they decide that the duty under section 9 or 10 of the Care Act 2014 does not apply, or (b) having decided that the duty applies and having discharged it, they reach a conclusion in his case. (7) A local authority reach a conclusion in a person's case when— (a) they conclude that he does not have needs for care and support or for support (as the case may be), or (b) having concluded that he has such needs and that they are going to meet some or all of them, they begin to do so, or (c) having concluded that he has such needs, they conclude that they are not going to meet any of those needs (whether because those needs do not meet the eligibility criteria or for some other reason). (8) In this section, “child's needs assessment”, “child's carer's assessment”, “young carer's assessment”, “needs assessment”, “carer's assessment” and “eligibility criteria” each have the same meaning as in Part 1 of the Care Act 2014. (17ZI) (1) This section applies where a local authority in England providing services for a person in the exercise, by virtue of section 17ZG, of functions conferred by section 17 are required to carry out a needs assessment in that person's case. (2) If the EHC plan for the person ceases to be maintained before the local authority reach a conclusion in the person's case, they must continue to comply with section 17 until they do reach a conclusion in his case. (3) The references to the local authority reaching a conclusion in a person's case are to be read with section 17ZH(7). (4) In this section, “needs assessment” has the same meaning as in Part 1 of the Care Act 2014.

  • (2) In section 17ZG of that Act (continued provision of services under section 17 where EHC plan maintained), in subsection (2), after “after the EHC plan has ceased to be maintained” insert “ , except in so far as the authority is required to do so under section 17ZH or 17ZI ”.
  • (3) After section 2 of the Chronically Sick and Disabled Persons Act 1970 insert—

(2A) (1) Subsections (2) to (4) apply where a local authority in England making arrangements for a disabled child under section 2 are required by section 58(1) of the Care Act 2014 to carry out a child's needs assessment in relation to the child. (2) If the local authority carry out the assessment before the child reaches the age of 18 and decide to treat it as a needs assessment in accordance with section 59(6) of the Care Act 2014 (with Part 1 of that Act applying to the assessment as a result), the authority must continue to comply with section 2 after the child reaches the age of 18 until they reach a conclusion in his case. (3) If the local authority carry out the assessment before the child reaches the age of 18 but decide not to treat it as a needs assessment in accordance with section 59(6) of that Act— (a) they must carry out a needs assessment after the child reaches the age of 18, and (b) they must continue to comply with section 2 after he reaches that age until they reach a conclusion in his case. (4) If the local authority do not carry out the assessment before the child reaches the age of 18, they must continue to comply with section 2 after he reaches that age until— (a) they decide that the duty under section 9 of the Care Act 2014 (needs assessment) does not apply, or (b) having decided that the duty applies and having discharged it, they reach a conclusion in his case. (5) Subsection (6) applies where a local authority in England making arrangements for a disabled child under section 2— (a) receive a request for a child's needs assessment to be carried out in relation to the child, but (b) have yet to be required by section 58(1) of the Care Act 2014 to carry out the assessment. (6) If the local authority do not decide, before the child reaches the age of 18, whether or not to comply with the request, they must continue to comply with section 2 after he reaches that age until— (a) they decide that the duty under section 9 of the Care Act 2014 does not apply, or (b) having decided that the duty applies and having discharged it, they reach a conclusion in his case. (7) A local authority reach a conclusion in a person's case when— (a) they conclude that he does not have needs for care and support, (b) having concluded that he has such needs and that they are going to meet some or all of them, they begin to do so, or (c) having concluded that he has such needs, they conclude that they are not going to meet any of those needs (whether because those needs do not meet the eligibility criteria or for some other reason). (8) In this section, “child's needs assessment”, “needs assessment” and “eligibility criteria” each have the same meaning as in Part 1 of the Care Act 2014.

Independent advocacy support

Involvement in assessments, plans etc.

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  • (1) This section applies where a local authority is required by a relevant provision to involve an individual in its exercise of a function.
  • (2) The authority must, if the condition in subsection (4) is met, arrange for a person who is independent of the authority (an “independent advocate”) to be available to represent and support the individual for the purpose of facilitating the individual's involvement; but see subsection (5).
  • (3) The relevant provisions are—
  • (a) section 9(5)(a) and (b) (carrying out needs assessment);
  • (b) section 10(7)(a) (carrying out carer's assessment);
  • (c) section 25(3)(a) and (b) (preparing care and support plan);
  • (d) section 25(4)(a) and (b) (preparing support plan);
  • (e) section 27(2)(b)(i) and (ii) (revising care and support plan);
  • (f) section 27(3)(b)(i) and (ii) (revising support plan);
  • (g) section 59(2)(a) and (b) (carrying out child's needs assessment);
  • (h) section 61(3)(a) (carrying out child's carer's assessment);
  • (i) section 64(3)(a) and (b) (carrying out young carer's assessment).
  • (4) The condition is that the local authority considers that, were an independent advocate not to be available, the individual would experience substantial difficulty in doing one or more of the following—
  • (a) understanding relevant information;
  • (b) retaining that information;
  • (c) using or weighing that information as part of the process of being involved;
  • (d) communicating the individual's views, wishes or feelings (whether by talking, using sign language or any other means).
  • (5) The duty under subsection (2) does not apply if the local authority is satisfied that there is a person—
  • (a) who would be an appropriate person to represent and support the individual for the purpose of facilitating the individual's involvement, and
  • (b) who is not engaged in providing care or treatment for the individual in a professional capacity or for remuneration.
  • (6) For the purposes of subsection (5), a person is not to be regarded as an appropriate person unless—
  • (a) where the individual has capacity or is competent to consent to being represented and supported by that person, the individual does so consent, or
  • (b) where the individual lacks capacity or is not competent so to consent, the local authority is satisfied that being represented and supported by that person would be in the individual's best interests.
  • (7) Regulations may make provision in connection with the making of arrangements under subsection (2); the regulations may in particular—
  • (a) specify requirements that must be met for a person to be independent for the purposes of subsection (2);
  • (b) specify matters to which a local authority must have regard in deciding whether an individual would experience substantial difficulty of the kind mentioned in subsection (4);
  • (c) specify circumstances in which the exception in subsection (5) does not apply;
  • (d) make provision as to the manner in which independent advocates are to perform their functions;
  • (e) specify circumstances in which, if an assessment under this Part is combined with an assessment under this Part that relates to another person, each person may or must be represented and supported by the same independent advocate or by different independent advocates;
  • (f) provide that an independent advocate may, in such circumstances or subject to such conditions as may be specified, examine and take copies of relevant records relating to the individual.
  • (8) This section does not restrict the provision that may be made under any other provision of this Act.
  • (9) “Relevant record” means—
  • (a) a health record (within the meaning given in section 205 of the Data Protection Act 2018),
  • (b) a record of, or held by, a local authority and compiled in connection with a function under this Part or a social services function (within the meaning given in section 1A of the Local Authority Social Services Act 1970),
  • (c) a record held by a person registered under Part 2 of the Care Standards Act 2000 , Chapter 2 of Part 1 of the Health and Social Care Act 2008 or Part 1 of the Regulation and Inspection of Social Care (Wales) Act 2016, or
  • (d) a record of such other description as may be specified in the regulations.

Safeguarding enquiries and reviews

68
  • (1) This section applies where there is to be—
  • (a) an enquiry under section 42(2),
  • (b) a review under section 44(1) of a case in which condition 2 in section 44(3) is met or a review under section 44(4).
  • (2) The relevant local authority must, if the condition in subsection (3) is met, arrange for a person who is independent of the authority (an “independent advocate”) to be available to represent and support the adult to whose case the enquiry or review relates for the purpose of facilitating his or her involvement in the enquiry or review; but see subsections (4) and (6).
  • (3) The condition is that the local authority considers that, were an independent advocate not to be available, the individual would experience substantial difficulty in doing one or more of the following—
  • (a) understanding relevant information;
  • (b) retaining that information;
  • (c) using or weighing that information as part of the process of being involved;
  • (d) communicating the individual's views, wishes or feelings (whether by talking, using sign language or any other means).
  • (4) The duty under subsection (2) does not apply if the local authority is satisfied that there is a person—
  • (a) who would be an appropriate person to represent and support the adult for the purpose of facilitating the adult's involvement, and
  • (b) who is not engaged in providing care or treatment for the adult in a professional capacity or for remuneration.
  • (5) For the purposes of subsection (4), a person is not to be regarded as an appropriate person unless—
  • (a) where the adult has capacity to consent to being represented and supported by that person, the adult does so consent, or
  • (b) where the adult lacks capacity so to consent, the local authority is satisfied that being represented and supported by that person would be in the adult's best interests.
  • (6) If the enquiry or review needs to begin as a matter of urgency, it may do so even if the authority has not yet been able to comply with the duty under subsection (2) (and the authority continues to be subject to the duty).
  • (7) “Relevant local authority” means—
  • (a) in a case within subsection (1)(a), the authority making the enquiry or causing it to be made;
  • (b) in a case within subsection (1)(b), the authority which established the SAB arranging the review.

Enforcement of debts

Recovery of charges, interest etc.

69
  • (1) Any sum due to a local authority under this Part is recoverable by the authority as a debt due to it.
  • (2) But subsection (1) does not apply in a case where a deferred payment agreement could, in accordance with regulations under section 34(1), be entered into, unless—
  • (a) the local authority has sought to enter into such an agreement with the adult from whom the sum is due, and
  • (b) the adult has refused.
  • (3) A sum is recoverable under this section—
  • (a) in a case in which the sum becomes due to the local authority on or after the commencement of this section, within six years of the date the sum becomes due;
  • (b) in any other case, within three years of the date on which it becomes due.
  • (4) Where a person misrepresents or fails to disclose (whether fraudulently or otherwise) to a local authority any material fact in connection with the provisions of this Part, the following sums are due to the authority from the person—
  • (a) any expenditure incurred by the authority as a result of the misrepresentation or failure, and
  • (b) any sum recoverable under this section which the authority has not recovered as a result of the misrepresentation or failure.
  • (5) The costs incurred by a local authority in recovering or seeking to recover a sum due to it under this Part are recoverable by the authority as a debt due to it.
  • (6) Regulations may—
  • (a) make provision for determining the date on which a sum becomes due to a local authority for the purposes of this section;
  • (b) specify cases or circumstances in which a sum due to a local authority under this Part is not recoverable by it under this section;
  • (c) specify cases or circumstances in which a local authority may charge interest on a sum due to it under this Part;
  • (d) where interest is chargeable, provide that it—
  • (i) must be charged at a rate specified in or determined in accordance with the regulations, or
  • (ii) may not be charged at a rate that exceeds the rate specified in or determined in accordance with the regulations.

Transfer of assets to avoid charges

70
  • (1) This section applies in a case where an adult's needs have been or are being met by a local authority under sections 18 to 20 and where—
  • (a) the adult has transferred an asset to another person (a “transferee”),
  • (b) the transfer was undertaken with the intention of avoiding charges for having the adult's needs met, and
  • (c) either the consideration for the transfer was less than the value of the asset or there was no consideration for the transfer.
  • (2) The transferee is liable to pay to the local authority an amount equal to the difference between—
  • (a) the amount the authority would have charged the adult were it not for the transfer of the asset, and
  • (b) the amount it did in fact charge the adult.
  • (3) But the transferee is not liable to pay to the authority an amount which exceeds the benefit accruing to the transferee from the transfer.
  • (4) Where an asset has been transferred to more than one transferee, the liability of each transferee is in proportion to the benefit accruing to that transferee from the transfer.
  • (5) “Asset” means anything which may be taken into account for the purposes of a financial assessment.
  • (6) The value of an asset (other than cash) is the amount which would have been realised if it had been sold on the open market by a willing seller at the time of the transfer, with a deduction for—
  • (a) the amount of any incumbrance on the asset, and
  • (b) a reasonable amount in respect of the expenses of the sale.
  • (7) Regulations may specify cases or circumstances in which liability under subsection (2) does not arise.

Review of funding provisions

Five-yearly review by Secretary of State

71
  • (1) The Secretary of State must review—
  • (a) the level at which the cap on care costs is for the time being set under regulations under section 15(4),
  • (b) the level at which the amount attributable to an adult's daily living costs is for the time being set under regulations under section 15(8), and
  • (c) the level at which the financial limit is for the time being set under regulations under section 17(8).
  • (2) In carrying out the review, the Secretary of State must have regard to—
  • (a) the financial burden on the state of each of those matters being at the level in question,
  • (b) the financial burden on local authorities of each of those matters being at the level in question,
  • (c) the financial burden on adults who have needs for care and support of each of those matters being at the level in question,
  • (d) the length of time for which people can reasonably be expected to live in good health,
  • (e) changes in the ways or circumstances in which adults' needs for care and support are being or are likely to be met,
  • (f) changes in the prevalence of conditions for which the provision of care and support is or is likely to be required, and
  • (g) such other factors as the Secretary of State considers relevant.

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