This section provides a summary of how to use this Adults Policies, Procedures and Practice (APPP) resource for providers, and its main features.
- Finding your way round this Site
- Accessibility Options
- Using the APPP Resource on Mobile Phones and Tablets
- Adding Shortcuts
- Quick Reads and Audio Summaries
- Register with Us
This site is divided into different sections, which are on the left side of the screen.
- Under the Home tab you will find Using this APPP Resource (this page) which gives information about using this site, and Register with Us to receive notification when this APPP is updated.
- There are two separate contents lists which contain the policies, procedures and practice guidance chapters. These are separate ones for Domiciliary Care and Residential Care services. These are divided into sections which can be viewed by clicking on the arrows or if you click on either the word ‘Domiciliary’ or ‘Residential’ all of the sections will be displayed. They contain different sections and chapters are mostly ordered to reflect the CQC’s Key Lines of Enquiry.
- The ‘Resources’ section provides a range of relevant supporting information; from briefings to Safeguarding Adults Review reports. Click on Provider Resources for key national guidance information for provider staff.
When you are on a section / page, the remaining contents list for that tab is accessible via the buttons below. You can either click on one of these, to go to the next section you want, or you can use the back / forward arrows in the top left next to your address bar or the page up / page down buttons on your key board.
This site has a number of different options to help online reading. When you are on the home page, choose ‘Accessibility’ drop down menu on the right side of the screen. There is large text, green, blue or pink backgrounds, yellow text on a black background or you can return to the default setting. You can use large text with any of the other options.
In addition, the site is designed to be accessible for users of text only and screen reader software programs which allow blind or visually impaired users to read the text that is displayed on the computer screen with a speech synthesizer or braille display. Our content is consistently structured, including headings, which makes using the software on our site easier. Also, when viewed though screen reader software, every page has a ‘Skip to main content’ link which allows software users to go straight to the main content of that page instead of receiving the full navigation options every time. Please share this information with blind or visually impaired colleagues.
This resource works well on internet enabled mobile phones and tablets by typing in the weblink in the internet address bar. When used on a mobile phone, the website will immediately convert into a mobile phone friendly version, where the tabs sit behind the Menu button. If it does not work straightaway, tap on the refresh circle in the address bar.
If your phone or tablet has a reader option (it may be an ‘R’ or say ‘Reader’ in the address bar, you may have to install it), tap on it and it will convert the text into a more easy to read version for phones or tablets.
You can easily access the APPP by installing a shortcut on your device, which will directly open up your internet browser to the APPP site. You can do so using the following methods:
- on desktop / laptops: go to the homepage of the APPP website in your internet browser, then bookmark it using your browser’s bookmark feature. Open your browser’s list of bookmarked websites and drag the APPP bookmark onto the desktop of your device.
- on mobiles: go to the homepage of the APPP website in your internet browser, then click the three dots icon (if using an Android device) or the share icon (if using an Apple device) and choose Add to Home screen.
The Resources section contains a number of links and documents to supplement the information in chapters. It includes
- Case Law and LGSCO Reports– this section provides information about recent significant case law and key reports from the Local Government and Social Care Ombudsman’s complaints investigations;
- Case Studies – from the Care and Support Statutory Guidance;
- Glossary – provides definitions and key terms used;
- Integrated Care – links to organisations and documents relevant to the health and social care integration agenda;
- Legislation – links to relevant legislation;
- National Guidance and Inquiries – links to national guidance, particularly from ADASS, LGA and SCIE and links to inquiry reports;
- Organisations – links to websites for relevant national organisations;
- Provider Resources – links to guidance and other information and national organisations who provide services and support to provider services;
- Quick Reads and Audios – summary versions of chapters, in audio and text formats.
- Research and Report Briefings – written by the Policy Partners Project to reflect current issues or recently released research reports;
- Safeguarding Adults Review Reports – links to significant SARs.
For ease of use, if you can open the resource in two tabs next to each other you can click on the Resources section to consult related resources without leaving the chapter you are reading.
Some chapters have summaries (Quick Reads) and Audios which provide key information for staff who do not need to know the full detail of the chapter. They can be found at the top of the relevant chapter. A full list can be found in Quick Reads and Audios, in Resources.
Policy Partners Project makes changes to this APPP as a result of new / amended legislation, regulation or national guidance.
When a new chapter is added or an existing chapter amended, a summary of the change appears in the table below and at the top of the chapter. Where there are different versions of the chapter for residential and domiciliary care, a link to both chapters will be added.
Check here regularly to see what has changed or been added to this APPP. If you register with us (see Register with Us below) you will be kept notified of changes we make via email.
|Statement of Purpose||A link has been added in the scope box to service user band information, published by the Care Quality Commission.|
|Infection Prevent and Control (domicilary) and Infection Prevention and Control (residential)||A link has been added in the scope box to Infection Prevention and Control: A Resource for Adult Social Care, published by the Department of Health and Social Care.|
|Hospital Discharge and Community Support||This chapter has been rewritten throughout as a result of updated hospital discharge guidance published by the Department of Health and Social Care. It is general guidance; local processes should be followed in relation to hospital discharge.|
The remaining chapters relating to coronavirus have now been withdrawn in line with Government guidance. However there are still some links to useful information at the top of some chapters.
|Amendments for residential homes|
|Coronavirus (COVID-19) Vaccination of People Working in Care Homes||Following the Government ending the requirement for staff and visitors to be double vaccinated, this chapter has been removed.|
|Registered Manager||This chapter was updated to remove reference to the requirement for all staff to have had two COVID-19 vaccinations unless they were exempt. However, staff should be strongly encouraged to be up to date with the vaccination programme.|
|Staffing||This chapter was updated to remove reference to the requirement for all staff to have had two COVID-19 vaccinations unless they were exempt. However, staff should be strongly encouraged to be up to date with the vaccination programme.|
|Hospital Discharge||This chapter has been updated in light of revised Government guidance.|
|Domestic Abuse||This chapter gives key information about the Domestic Abuse Act 2021.|
|Preventing Falls||This chapter outlines some of the main issues in preventing falls.|
|Coronavirus Act 2020||This chapter has been updated as a result of changes to the Coronavirus Act made as a result of review by MPs. It now contains a summary of the Act.|
|Coronavirus (COVID-19) Vaccination of People Working in Care Homes||This chapter outlines the legal responsibilities of the registered manager / care home for ensuring that, from 11 November 2021, everyone entering the home has had a complete course of an authorised COVID-19 vaccine, apart from certain exemptions.|
|Registered Manager||This chapter was updated to include reference to the vaccination of people working in care homes.|
|Staffing||This chapter has been amended to include reference to the vaccination of people working in care homes.|
|Family and Friend Visitors||This chapter has been amended to reference current guidance on COVID vaccines for visitors.|
|Sexuality and Personal Relationships||This chapter was amended as a link was added to Supporting Personal Relationships published by Skills for Care.|
|Lone Working||This chapter has been updated as a link has been added to Protecting Lone Workers: How to Manage the Risks of Working Alone published by the Health and Safety Executive, as above.|
|Working with Adults with Autism||This chapter has been updated by adding a link to Core Capabilities Framework for Supporting Autistic People published by the Department of Health and Social Care.|
|Data Protection: Legislation and Practice||This chapter was updated to reflect the introduction of the UK General Data Protection Regulation (which replaced the European GDPR) as well as additional information being added.|
|Working with Adults Affected by Child Sexual Exploitation and Organised Sexual Abuse (Domiciliary)||This chapter has been amended throughout.|
|Mental Capacity||A new link has been added to Carrying Out and Recording Capacity Assessments, published by 39 Essex Chambers.|
|Protecting Property and Pets of Adults being Cared for away from Home||This chapter was updated to include a link to the Good Practice Guides, published by the RSPCA.|
|Assessment, Care and Support Planning, Personalisation and Equality, Diversity and Human Rights chapters||These chapters have been updated to include a link to Culturally Appropriate Care, published by the Care Quality Commission.|
|Working with People who are Living with Frailty||This chapter outlines the main issues for people who are living with frailty.|
|Care Act Easements: Summary||This chapter has been removed as a result of recent changes to the Coronavirus Act.|
|Coronavirus Act 2020||This chapter has been amended to remove the section on NHS and Local Authority Care and Support, as a result of recent changes to the Coronavirus Act.|
|Deprivation of Liberty Safeguards (DoLS) during the Coronavirus (COVID-19) Pandemic||Section 2.1.1 was amended to reflect updated Government guidance in relation to giving a vaccine to someone who does not have mental capacity.|
|COVID-19: Hospital Discharge||This chapter has been updated to reflect revised national guidance.|
|Deprivation of Liberty Safeguards (Domicilary)
|This chapter was amended to add a note about the delayed introduction of the Liberty Protection Safeguards, which will replace the Deprivation of Liberty Safeguards.|
|Personalisation||A link has been added in the scope box to Improving Personalisation in Care Homes, published by SCIE.|
|This chapter was amended to add a link in the scope box to Prevention and Wellbeing, published by SCIE.|
|Preventing, Reducing or Delaying Needs||This chapter was amended to add a link in the scope box to Prevention and Wellbeing, published by SCIE.|
|End of Life Care||This chapter was amended to add a link in the scope box to the Ambitions for Palliative and End of Life Care website published by the National Palliative and End of Life Care Partnership.|
|Sexuality and Personal Relationships||This chapter was amended as a link was added in the scope box to Promoting Sexual Safety through Empowerment published by the Care Quality Commission.|
|Amended chapter title||Detail|
|Deprivation of Liberty Safeguards (DoLS) during the Coronavirus (COVID-19) Pandemic||This chapter was amended again to reflect updated Government guidance. This new information has been marked ‘Additional Guidance – October 2020’.|
|Amended chapter title||Detail|
|Deprivation of Liberty Safeguards (DoLS) during the Coronavirus (COVID-19) Pandemic||This chapter was amended to reflect updated Government guidance regarding carrying out face to face assessments and professional visits. This new information has been marked ‘Additional Guidance – September 2020’.|
|Care Act Easesments: Summary of Guidance||This chapter has been amended to reflect changes in the Care Act Easements guidance, that is reference to advocates.|
|Hospital Discharge||The guidance from the Department of Health and Social Care has been changed. There is a link to the new guidance in this chapter.|
|New chapter title||Detail|
|The Whole Family Approach||This chapter outlines the main points of the Whole Family Approach, based on best practice guidance.|
|Working with Adults with Autism||This chapter provides key information about autism and guidance for staff who are working with adults who have, or may have, autism.|
|Infection Prevention and Control – Residential Care||This chapter has been amended to include a link to Infection Prevention and Control in Care Homes, published by the Care Quality Commission. The CQC has published the questions to help homes prepare for the risk of a second wave of COVID-19 and the impact of winter pressures.|
|Family and Friend Visitors||This chapter has been amended to include a link to Visiting Care Homes during Coronavirus published by the Department of Health and Social Care.|
|Restraint||This chapter has been amended to include a link to the Restraint Reduction Network.|
|COVID-19 page||A link has been added to COVID-19: Adult Social Care Risk Reduction Framework, published by the Department of Health and Social Care.|
|Deprivation of Liberty Safeguards during the Coronavirus (COVID-19) Pandemic/td>||This chapter has been amended to include additional guidance, published by the Department of Health and Social Care.|
|Coronavirus (COVID-19): Death of a Worker in Social Care||This chapter outlines the steps to take and who to contact in the event of the death of a worker in social care. It is taken from the Department of Health and Social Care guidance.|
|Making Advance Decisions||A link has been added in the scope box to Making and Registering an LPA during the Coronavirus Outbreak published by the Office of the Public Guardian.|
April 2020: Coronavirus
Click on the link to view information on the Home Page was added in relation to the Coronavirus outbreak and links to Care Quality Commission and UK Government information.
The changes to chapters as a result of changes in the law and national guidance as a result of the outbreak are listed below. There are some new chapters and changes to existing chapters have also been made.
|Coronavirus Act 2020||This chapter outlines the changes implemented from 25 March 2020 that impact on adult social care services.|
|Responding to COVID-19: the ethical framework for adult social care||This chapter summarises the framework, published by the Department of Health and Social Care, which intends to provide support to ongoing response planning and decision-making to ensure that consideration is given to specific ethical values and principles when organising and delivering social care for adults. It applies to local authorities and the wider health and care workforce.|
|Care Act Easements – Summary of Guidance||This is a summary of the Government guidance outlining which Care Act duties may change under the Coronavirus Act 2020.|
|COVID-19: Hospital Discharge||This chapter summarises the changes to hospital discharge which affect providers who will work with people discharged from hospital during the COVID-19 outbreak.|
|The information in these chapters listed below has been affected by the changes implemented by the UK Government and other organisations. There is a box at the top of the chapter outlining the changes with links. The main text in the chapter has not been changed unless stated.|
|Care and Support Planning|
|Review of Care and Support Plans|
|Person Centre Care|
|Working with Carers|
|Continuing Health Care|
|End of Life Care|
|Ageing, Illness and Dying|
|Safeguarding Adults from Abuse and Neglect|
|Mental Health Act 1983|
|Making Advance Decisions|
|Dignity, Compassion and Respect|
|Recruitment and Employment|
|Disclosure and Barring Checks|
|Positive Risk Taking and Risk Assessments|
|Equality, Diversity and Human Rights|
|Infection, Prevention and Control (residential care)|
|Infection, Prevention and Control (domicilary care)|
|Health and Safety|
|Leadership and Management|
|Transition to Adult Care and Support|
On the home screen, type in the word or phrase you are looking for in the ‘Search’ facility and press ‘Enter’. It will bring up a list of all the chapters where it appears. Click on the one you want. The word / phrase will remain highlighted in the chapter. If you want to narrow down your search results, put quote marks around your key word, for example “Care Quality Commission”.
If you want to search for specific text within a chapter or a pdf document, you can also press ‘Ctrl’ and ‘f’ together. A box will appear in the top right of your screen. Type in the word / phrase you want to find and press ‘Enter’. The number of times it appears in the chapter will be displayed next to your word. Use the up and down arrows next to it to find all the references.
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By submitting this information, you will only receive email notifications from us in relation to APPP updates and your information will not be given to any third parties.
This resource has been designed to be used online. It is easier to keep web-based procedures updated, rather than hard-copy manuals, and version control is easily managed. Reducing or eliminating printing cuts costs, as well as preserving valuable resources.
If you print a chapter, for example to take to a meeting, please note it is valid for 72 hours only from the date it was printed.
Please remember that the resource can be also accessed on mobile phones and tablets (see Using the APPP Resource on Mobile Phones and Tablets).
The chapter content in this resource can be accessed, downloaded and printed unchanged, on a temporary basis. Any content printed or downloaded may not be sold, licensed, transferred, copied or reproduced in part or in whole in any manner or format without the prior written permission of Policy Partners Project Ltd.