| IMPLEMENTING
THE CARE PROGRAMME APPROACH
RESULTS OF A JOINT SURVEY BY THE
SOCIAL WORK SERVICES INSPECTORATE AND THE ACCOUNTS COMMISSION
4. Involvement of people on the CPA and their carers
Findings
All but one of the responding areas gave
people who used the CPA service a copy of their care plan.
In the remaining area, people could have a
copy of their care plan on request
Only half the areas collected data on
whether those using the service had received a copy of their care plan.
People who used the service and their
carers were given information about the CPA in only 21 out of the 26 areas.
Less than half (11) the areas reported
positively about their efforts to involve people in their own CPA meetings.
Action required
It is important that all people on the CPA
and their carers are fully involved in their care planning.
Areas should ensure that people on the CPA
and their carers have information about the CPA and the standards of care they can expect.
People on the CPA and their carers should
receive copies of their care plans and where at all possible, be involved in meetings
about their own care.
5. Administrative arrangements and funding
Findings
Staff from various backgrounds, both
part-time and full-time, managed the CPA on a day-to-day basis.
20 out of the 26 areas provided varying
amounts of administrative support for the CPA.
Most areas felt the administration process
could be improved.
10 areas would have found dedicated
administrative support helpful.
There were considerable and acceptable
variations in the existing funding arrangements for the coordination and administration of
the CPA.
4 areas were jointly funded by social work
and health care agencies.
Action required
6. Data collection, availability and use
Findings
All areas implementing the CPA had data
available for "those who needed to know" during office hours.
Only 12 out of 21 areas had CPA data
available out of office hours.
Only 9 of the 19 areas who said they could
use the information collected for clinical audit were actually doing so.
Action required
It is essential that core data is collected
and readily available to relevant personnel.
Data should include an assessment of risk,
identification of the individual’s key worker, and how that person can be contacted.
Information must be available at all times
(i.e. over 24 hours, seven days a week) to agencies involved in helping someone on the CPA
in an emergency.
Aggregated data should be used to review
and improve the running and effectiveness of the CPA and fed into the development of the
local mental health strategy and service commissioning process.
7. Training and development in the CPA
Findings
Training courses in the CPA were
multidisciplinary in most (19) areas.
Four areas were not training key workers in
the CPA.
A third of areas found the CPA had helped
to develop multidisciplinary relationships.
12 areas needed more resources to develop
the CPA appropriately.
7 areas felt joint training would improve
the running of the CPA.
Action required
Key workers involved in the CPA must
receive training in its implementation.
Training in the CPA should be
multidisciplinary to promote consistency of working and assist the development of better
working relationships.
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