May 2019

Welcome to the revised edition of the Bedford Adult Services Adult Policies, Procedures and Practice (APPP) resource.

This page provides a summary of how to use this site and its main features. It also provides a summary of the latest changes (see Amendments).


Finding your way around this Site

This site is divided into different sections. On the home page there are three buttons:

  • ASC Procedures – which contains policies, procedures and practice guidance for Bedford Adult Social Care;
  • Safeguarding – which has links to local safeguarding information and the Bedford Safeguarding Children’s Board procedures; and
  • Useful Links – which has links to the most commonly used local and national web pages for Bedford staff.

When you are in the ASC Procedures section, there are a number of tabs on the left side of the screen when viewed on larger screens or by clicking on the lined box in the top right corner on smaller screens (such as phones or tablets):

  • Home contains the introduction page of the ASC Procedures section. It also includes Using this APPP (this page) which gives information about using this site, and Register with Us to receive notification when this APPP is updated.
  • Contents contains the policies, procedures and practice guidance chapters. These are divided into sections which can be viewed by clicking on the arrow on the right of ‘Contents’;
  • Resources provides a range of relevant supporting information (see below). The different sections can also be viewed by clicking on the arrow on the right of ‘Resources’;
  • Contact has Local Contacts which contains contact information for key local teams, services and partner agencies. It also contains the Contact Form for you to send a message to Lori Dyke, who is the single point of contact in Bedford ASC and who oversees the coordination of this site, should you have a comment or suggestion you wish to make.

Accessibility Options

This site has a number of different options to aid 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.

Using it on Mobile Phones and Tablets

This APPP resource works well on internet-enabled mobile phones and tablets via the web address When used on a mobile phone, the website will immediately convert into a phone friendly version, where the tabs sit behind a main 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.


The Resources section contains a number of links and documents to supplement the information in the main chapters. It includes

  • Case Law – contains information about significant case law;
  • Case Studies – currently populated by case studies from the Care and Support Statutory Guidance, but can be supplemented or replaced by local examples;
  • CQC Standards and KLOEs – links to the Care Quality Commission’s Fundamental Standards and Key Lines of Enquiry information;
  • Glossary – provides definitions and key terms used;
  • Integrated Care – organisations and key documents supporting the health and social care integration agenda;
  • Legislation – links to relevant legislation;
  • Local Forms, Leaflets and Letters – this section hosts information and templates used by staff in Bedford;
  • National Guidance and Inquiries – links to national guidance, particularly from ADASS, LGA and SCIE, and 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;
  • 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 this site in two tabs next to each other you can click on the Resources section to consult related information without leaving the chapter you are reading.

If there are any documents or links you would added to this section, please let us know by contacting Lori Dyke, your local contact for this resource.


With each revised edition of your APPP site, we indicate in the table below which chapters are new or have been updated. This information is also available at the top of each chapter.

May 2019

Chapter title Detail
Amended chapters
Protecting Property of Adults being Cared for away from Home, including Pets This chapter was amended to include links to good practice from the RSPCA and HM Government codes of practice.
Continuing Healthcare (NHS) This chapter was amended to reflect the revised guidance National Framework for NHS Continuing Healthcare and NHS funded Nursing Care, published by the Department of Health and Social Care and links updated to associated documents. Section 1, Introduction has also been updated.
Self-funders This chapter has been revised throughout to provide further information and clarity.
Dementia: Practice Guidance This chapter was amended to add more information in Section 8, Safeguarding Adults with Dementia.
Mental Capacity This chapter has been amended to add a link to Decision-making and mental capacity published by NICE. and Brief Guide to carrying out Capacity Assessments, published by 39 Essex Chambers has been re-linked to the latest version.
Outcomes in Adult Social Care  This chapter has been updated to link to the most recent Handbook of Definitions.
Assessment (First Contact and Identifying Needs) This chapter was updated to add a link to Quality Statement 1: Care and Support Needs Assessment published by NICE.
Personal Budgets This chapter has been updated to add a link to Quality Statement 2: Empowering People to Manage their Personal Budget published by NICE.
Continuity of Care This chapter was updated to add a link to Quality Statement 3: Continuity of Care and Support published by NICE.
User Involvement This chapter has been updated to include a link to Quality Statement 4: Using People’s Views to Improve Services published by NICE.
New chapters
Emerging Concerns Protocol This protocol is a summary of the protocol published by the Care Quality Commission.
Homelessness  This chapter summarises homelessness legislation and provides links to information about housing and homelessness services, strategies and plans in Bedford.
Ill Treatment and Wilful (Deliberate) Neglect This chapter outlines the offences of ill treatment and wilful neglect in relation to staff and organisations.
Glossary Some new glossary terms have been added. These include: critical reflection; outcomes focused practice; person focused practice; reflexive; strengths and asset based practice; supervision and values. These are taken from Post-qualifying Standards for Social Work Practice Supervisors in Adult Social Care (DHSC, 2018)
Research and Report Briefings  Click on the link to view short briefings regularly produced by Policy Partners Project, on topical issues.

Date of the Next Revision

This Bedford APPP resource is usually updated every six months. The next version will therefore be available in November 2019.

If you want to make any changes to chapters, please first read Making Changes to Chapters for information about how to make the changes in the way we require. Before making any changes or writing new chapters however, please first contact Lori Dyke, Business and Contracts Manager, who is the Bedford coordinator for this APPP.


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 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.

Register with Us

We recommend you ‘Register with Us‘. This enables us to notify you that your APPP resource has been updated, which is usually every six months. 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 APPP site has been designed to be used as an online facility. It is easier to update a web based facility, and version control is very effectively managed. Reducing or eliminating printing cuts costs, as well as preserving valuable resources.

If you print a chapter, to take to a meeting for example, please note it will have a water mark stating it is valid for 72 hours only and the date it was printed. Whilst this site is usually updated every six months, there may be occasions when it is updated urgently as a result of a Safeguarding Adults Review or inspection recommendation, so it is important to be sure that you are using the most recent copy. That is why we recommend that if you have to print a chapter, you no longer refer to it after that time.


The chapter content in this APPP site 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.