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<p>Under the Care Act 2014, local authorities must promote wellbeing when carrying
out any of their care and support functions in respect of a person. This is sometimes
referred to as “the wellbeing principle” because it is a guiding principle that puts
wellbeing at the heart of care and support. The definition of wellbeing includes physical
and mental health and emotional wellbeing.</p><p> </p><p> </p><p> </p><p>Assessments
under the Care Act will identify the person’s needs and how these impact on their
wellbeing. Care Plans must detail the needs to be met and how the needs will be met,
and will link back to the outcomes that the adult wishes to achieve in day-to-day
life as identified in the assessment process and to the wellbeing principle in the
Act.</p><p> </p><p> </p><p> </p><p>The Government has recognised the importance of
doing more to consider the mental wellbeing of people in care homes and asked the
National Institute for Health and Care Excellence (NICE) to prioritise this area for
one of its first Quality Standards for adult social care which were published in December
2013. The links to these standards can be found here:</p><p> </p><p> </p><p> </p><p><a
href="http://www.nice.org.uk/guidance/ph16" target="_blank">http://www.nice.org.uk/guidance/ph16</a></p><p>
</p><p> </p><p> </p><p><a href="http://www.nice.org.uk/guidance/qs50" target="_blank">http://www.nice.org.uk/guidance/qs50</a></p><p>
</p><p> </p><p> </p><p><a href="http://pathways.nice.org.uk/pathways/mental-wellbeing-and-older-people"
target="_blank">http://pathways.nice.org.uk/pathways/mental-wellbeing-and-older-people</a></p><p>
</p><p> </p><p> </p><p>The Health and Social Care Act 2008 Regulations 2014 sets out
the fundamental standards of care people should expect. Regulation 9 – person centred
care, makes clear that; “Providers must make every reasonable effort to provide opportunities
to involve people in making decisions about their care and treatment, and support
them to do this. This includes physical, psychological or emotional support, or support
to get information in an accessible format or to understand the content.”</p><p> </p><p>
</p><p> </p><p>The independent regulator, the Care Quality Commission when inspecting
services to make sure they meet the fundamental standards of quality and safety, use
NICE guidelines and quality standards as evidence to inform its inspection processes
and to inform the award of good and outstanding ratings.</p><p> </p><p> </p><p> </p><p>A
link to the 2008 regulations can be found here:</p><p> </p><p><a href="http://www.cqc.org.uk/content/regulations-service-providers-and-managers"
target="_blank">http://www.cqc.org.uk/content/regulations-service-providers-and-managers</a></p><p>
</p><p> </p><p> </p><p>The Improving Access to Psychological Therapies Programme,
introduced in 2010, offers patients routine NICE approved talking therapies for the
treatment of common mental health disorders including anxiety and depression. The
programme aims to provide access to at least 15% of those who require treatment by
March 2015 (data available July 2015). NHS England is leading work to ensure that
older adults and other under-represented groups are encouraged to seek the help that
they need.</p><p> </p><p> </p><p> </p>
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