About the Personal Social Services Adult Social Care Survey
The Personal Social Services Adult Social Care Survey (ASCS) is an annual survey for England that took place for the thirteenth time in 2022 to 2023. Service users were sent questionnaires by councils with Adult Social Services Responsibilities (CASSRs) from January to March 2023, to seek their opinions on a range of outcome areas.
The survey asks long-term service users about their experiences of care and support. The survey seeks to learn more about how effectively services are helping service users to live safely and independently, and the impact these services have on their quality of life.
The survey covers all service users aged 18 and over who receive long-term support services funded or managed by social services following a full assessment of need.
Survey responses
The survey had a 22% response rate. 435 people responded out of 1,985 who were sent a survey.
349 people provided written comments.
Qualitative themes
The 10 main themes of the survey were:
- satisfaction with services
- continuity, timeliness and quality of care
- supporting service users' interests and social life
- supporting service users' individual needs
- The Assessment Process
- pressure on resources
- direct payments
- employing PAs
- equipment
- safety
Satisfaction with services
90% of respondents were satisfied with their care and support services.
69% were very or extremely satisfied.
People valued:
- kind, efficient and professional carers
- a sense of security and peace of mind from the support provided
- continuity, timeliness and quality of care
- support keeping the house clean and hygienic
- serving meals at appropriate times
- being informed of changes to care workers or schedules
- carers understanding their individual needs
Supporting service users' interests and social life
Many service users said the best thing about their care service was having companionship and seeing friendly faces.
People valued:
- support to socialise in the community
- support to engage in hobbies and interests
- sufficient hours of care and support to enable them to socialise
- residential staff who can drive and supervise outside trips
Supporting service users' individual needs
Many people were satisfied with the way the staff respected their individual needs and made adjustments in the areas of communication, personal care, culture, mental health and food.
Some people wanted:
- better knowledge and training about specific communication needs such as a learning disability or a complex mental health condition
- their preference for personal care by female carers to be more consistently respected
The Assessment Process
Some people reported having a good experience with the assessment process and said their care package adequately met their needs.
Other people wanted:
- more care and support hours, for example, to manage cleaning and getting out of the house
- more financial support because of increasing energy and food bills
Pressure on resources
Many people were aware of funding cuts in the care sector and were concerned about their care being taken away.
People were concerned about:
- low wages for care workers
- staff shortages in the care sector
- cuts to services like talking therapy and daycare
Direct Payments
Several people said the Direct Payments system worked well, that their payments were prompt and their budget was adequate.
People valued:
- the flexibility and control of receiving direct payments and making decisions about their care
- being able to spend their budget flexibly
Employing PAs
People were happy with being able to choose their own carer.
People valued:
- building up a relationship with the same person over time
- the flexibility of employing someone to do different hours and tasks as circumstances changed
People wanted:
- to be able to pay their PAs a better wage
- to be able to pay family members to care for them
- more support to help find PAs
- information about the hiring process
- better cover when PAs are sick
Equipment
People valued:
- equipment being provided quickly and efficiently
- staff using equipment appropriately
People wanted:
- more practical support renewing or updating equipment
- more financial support to pay for equipment
Safety
After rating how safe they felt, service users were asked “If you have told us you don't feel safe, can you please tell us why?".
In response, people mentioned:
- falls, both inside and outside the home
- crime and anti-social neighbours
- other people’s judgement and ridicule
- spaces that are inaccessible to disabled people
- their own mental health issues
Information and advice (ASCOF 3D2)
36% had not tried to find information about services and support in the last year. Of those who had tried to find information about services and support in the last year, 67% had found it easy and 33% had found it difficult
People wanted:
- more support to help find PAs
- information about the hiring process
Social isolation (ASCOF 1I2)
We were above the national average score for social contact, however, fewer people reported being connected and supported by their community such as family, friends, and neighbours.
For Brighton and Hove survey respondents 30% of people living in the community and 19% of people in nursing/residential care wanted more social contact.
ASCOF scores
Survey responses are used to populate the measures below.
No survey was conducted from 2020 to 2021.
Measure |
Brighton & Hove City Council 2018 to 2019 |
Brighton & Hove City Council 2019 to 2020 |
Brighton & Hove City Council 2021 to 2022 |
Brighton & Hove City Council 2022 to 2023 |
All England 2022 to 2023 |
Peer average group 2022 to 2023 |
Findings |
|
Quality of life |
19.4 |
19.3 |
18.7 |
19.4 |
19.0 |
19.0 |
We are above the group average |
|
Control |
79.9 |
77.7 |
80.9 |
84.6 |
77.2 |
77.6 |
We are above the group average |
|
Social contact |
47.8 |
45.5 |
37.5 |
50.2 |
44.4 |
44.6 |
We are above the group average |
|
Satisfaction with services |
65.7 |
64.6 |
62.3 |
68.8 |
64.4 |
64.3 |
We are above the group average |
|
Easy to find information |
72.4 |
69.3 |
65.0 |
67.4 |
67.2 |
66.2 |
We are above the group average |
|
Feel safe |
71.5 |
71.5 |
63.7 |
73.2 |
69.7 |
68.8 |
We are above the group average |
|
Services help me feel safe |
89.3 |
88.1 |
78.9 |
85.2 |
87.1 |
86.4 |
We are below the group average |
|
These percentage figures show:
- we're starting to improve since the impact of COVID-19 except in areas of information and safety
- we have a Higher than peer group average in most areas except safety
Local/national differences could be due to health conditions, profiles of service users who responded or other factors. We cannot identify the specific contribution of councils’ adult social care towards these outcomes.