Promoting Individual Wellbeing
The promotion of Wellbeing (also known as the Wellbeing Principle) is the principle duty of the Care Act 2014. Every action taken, function performed or decision made by the Local Authority both corporately and operationally must give demonstrable regard to the impact upon the person's Wellbeing.
The promotion of Individual Wellbeing is described in the Care Act as 'actively seeking improvements in Wellbeing when carrying out any Care and Support function'. This can relate to any stage of the Care and Support process, from the provision of information and advice to reviewing a care and support plan or safeguarding.
Everybody's perception of Wellbeing is different because the meaning and sense of Wellbeing is a personal thing to each individual. As such there is no single definition in the Act. However, it is broadly defined under the following non-hierarchical categories;When considering individual Wellbeing the Local Authority should;
- Not make assumptions that because two people may have similar Care and Support needs they will also have similar needs in relation to the promotion of their Wellbeing;
- Support practitioners to have genuine conversations with people to identify and explicitly consider the most relevant aspects of their Wellbeing, assess how their needs impact on them and understand the goals and outcomes they wants to achieve;
- Consider with the person how to meet their specific needs-attempts should not be made to simply 'fit' people into existing Care and Support services regardless of whether these services will promote their Wellbeing. People should be supported to think about how to remain as independent as possible for as long as possible, and within this how to utilise their own strengths and the strengths of their informal networks and communities;
- Recognise that modern Care and Support can be provided in any number of ways, with new models emerging all the time, rather than defaulting to those described in previous legislation (which focussed primarily on traditional models of residential and domiciliary care).
Furthermore, when giving regard to the impact that a particular action, function or decision will have on a person's Wellbeing the Local Authority must;
- Begin with the assumption that the person is best-placed to judge their own Wellbeing;
- Establish, take into account and respect the person's views, wishes, feelings and beliefs (including those expressed historically by a person who may now lack capacity);
- Place importance on the prevention or delay of the need for formal or informal Care and Support, and the reduction of needs that already exist;
- Ensure that decisions about the person are made holistically, having regard to all of the person's circumstances (not having been clouded by over-concentrating on one or more elements of the person's medical condition, lifestyle, behaviour or characteristics e.g. age, appearance or beliefs);
- Support the person to participate as fully as possible, including the provision of information and support necessary to enable them to engage (there is a duty under the Act to provide independent advocacy where a person lacks capacity or has substantial difficulty in engaging in or understanding Adult Care and Support processes);
- Achieve a balance between the person's Wellbeing and that of any friends or relatives who are involved in caring for them; people should be supported in the context of their family and support networks;
- Protect people from abuse and neglect;
- Ensure that any restriction on the person's rights or freedom of action is kept to the minimum necessary.