39 Assessment and support planning the process of assessment of need, planning and coordinating care for adults with care and support needs to meet their long-term care needs, improve their quality of life and maintain their independence for as long as possible. Caldicott Guardian is a senior person responsible for protecting the confidentiality of people's health and care information and making sure it is used properly. All NHS organisations and local authorities which provide social services must have a Caldicott Guardian. Care and Support needs the mixture of practical, financial and emotional support for adults who need extra help to manage their lives and be independent – including adults who are more frail, with a disability or long-term illness or those with mental health problems, and family carers. Care and support includes assessment of people’s needs, provision of services and the allocation of funds to enable an adult to purchase their own care and support. It could include care home, domiciliary care, personal assistants, day services, or the provision of aids and adaptations. Care setting/services includes health care, nursing care, social care, domiciliary care, social activities, support setting, emotional support, housing support, emergency housing, befriending and advice services and services provided in someone’s own home by an organisation or paid employee for an adult by means of a personal budget (PB), direct payment or funded by the adult themselves. Clinical governance the framework through which the National Health Service (NHS) improves the quality of its services and ensures high standards of care. Coercion and control refers to circumstances where a person with whom an adult is personally connected repeatedly behaves in a way which makes him/her feel controlled, dependent, isolated or scared. It became law as part of the Serious Crime Act, 2015. Consent the voluntary and continuing permission of the person to the intervention based on an adequate knowledge of the purpose, nature, likely effects and risks of that intervention, including the likelihood of its success and any alternatives to it. Community Mental Health Team (CMHT) a team of professionals and support staff who provide specialist mental health services to adults within their community. CPA (Care Programme Approach) introduced in England by the then Dept of Health in 1990 the CPA requires health authorities, in collaboration with social services departments, to put in place specified arrangements for the care and treatment of adults with mental ill health in the community. The approach is not an alternative to utilising the safeguarding procedures. It can however be used to enhance the ongoing support following a safeguarding enquiry. The actual contact and support to a person may continue and therefore he/she may still be in receipt of care management or CPA input in which case their situation will be reviewed through those processes. This will include monitoring the safeguarding plan, as necessary. CPS (Crown Prosecution Service) the government department responsible for prosecuting criminal cases investigated by the police in England and Wales. CQC (Care Quality Commission) responsible for the registration and regulation of health and social care provision in England. Criminal Justice and Courts Act 2015 which has extended wilful neglect to all in receipt of services not just adults who lack capacity under the Mental Capacity Act or who are defined as having a mental illness under the Mental Health Act. Cuckooing and County Lines. In July 2017, the Home Office issued “Criminal Exploitation of children and vulnerable adults: County lines guidance”, providing detailed explanations and
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