June 2019

The Trafford Adult Social Care Adults Policies, Procedures and Practice (APPP) and Trafford Strategic Safeguarding Partnership APPP sites have been merged into this one site.

This pages provides information about the latest changes, how to use this resource and its main features, including Amendments to this edition.


Finding your way around this Resource

This site is structured into different sections.

Front Page

There are five main buttons:

Procedures sections

From the Front Page, if you click on either ASC procedures or TSSP procedures it will take you to the Contents page, from where you can access either set of procedures.

Where ASC and TSSP have the same chapter titles, the TSSP ones have ‘(TSSP)’ written after the title.

There are a number of tabs on the left side of the screen (when viewed on a computer):

  • Home contains the Using the APPP Resource (this page) and Register with Us (see below);
  • Contents contains the policies, procedures and practice guidance chapters. If you click on either ‘ASC Contents’ or ‘TSSP Contents’ it will take you to the whole contents list, or you can see the different sections by clicking on the arrow on the right of either ‘ASC Contents’ or TSSP Contents;
  • Resources provides a range of relevant supporting information (see also below). The different sections can also be viewed by clicking on the arrow on the right of ‘Resources’;
  • Contact contains local contact details for Trafford teams, services and partner organisations.

Please contact Neil Humphreys, DoLS Quality Assurance Manager at Trafford Council, using the Contact Form, if you have any queries or suggestions.

Accessibility Options

This resource has a number of different options to aide 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 the APPP Resource on Mobile Phones and Tablets

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.


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

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.

Reading Confirmation

This form, at the bottom of each chapter, enables staff to confirm they have read chapters in this APPP. This is useful for newly employed staff as part of their induction and for supervision, continuing professional development and team discussions for example. This is for those accessing either the Adult Social Care or the Trafford Strategic Safeguarding Partnership procedures.

When you complete and submit the form, it is stored in a secure database accessed only by Trafford managers.


Some of the chapters in the Adult Social Care APPP (AssessmentPersonalisation, Care and Support PlanningAdult Safeguarding and Mental Capacity) have epractice questions at the end, which help you test your understanding of the chapter and provide evidence for your continuing professional development.

At the top of the questions are some fields about who you are (name, job title, service name and email address) as well as where to send your results. It also asks for your manager’s email address.

The questions tare straightforward to answer. Some will only allow for a single choice of answer, for example true or false, and others have check boxes which allow you to tick as many as you feel apply.

Once you reach the end just click on the blue’ Submit’ button to send in your answers. All questions must be answered before you can do this. You will automatically be taken to a detailed results page, showing you how you did and explaining the answers further. You’ll also receive a copy of those results via email, as well as a certificate of completion should you pass. Your manager will also be notified of your results.


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

June 2019: TSSP Changes

Chapter title Detail
Amended chapters
Making Advance Decisions This chapter was amended to include new Section 2, Advance Statements and Section 4, Do Not Resuscitate and Section 3, Advance Decisions has been updated.
Dementia: Practice Guidance This chapter was amended to add more information in Section 8, Safeguarding Adults with Dementia.
Mental Capacity This chapter was updated to include a link to Decision-making and Mental Capacity published by NICE and A Brief Guide to carrying out Capacity Assessments published by 39 Essex Chambers was re-linked to the latest version.

May 2019: ASC Changes

Chapter title Detail
Amended chapters
Assessment This chapter has been amended to add a link to Quality Statement 1: Care and Support Needs Assessment, published by NICE.
Personal Budgets This chapter has been amended to add a link to Quality Statement 2: Empowering People to Manage their Personal Budget, published by NICE.
Continuity of Care  This chapter has been amended to add a link to Quality Statement 3: Continuity of Care and Support, published by NICE.
User Involvement This chapter has been amended to add a link to Quality Statement 4: Using People’s Views to Improve the Service, published by NICE.
Mental Capacity This chapter has been amended to update the link to the latest version of Brief Guide to carrying out Capacity Assessments, as above, published by 39 Essex Chambers (March 2019). Also, a link has been added to Decision-Making and Mental Capacity, published by NICE.
Best Interests This chapter has been updated to link to the latest version of A Brief Guide to carrying out Best Interests Assessments as above, published by 39 Essex Chambers (April 2019).
Ordinary Residence This chapter was amended to include a link to Ordinary Residence Guide: Determining Local Authority Responsibilities under the Care Act and the Mental Health Act published by the Local Government Association and the Association of Directors of Adult Social Services.
Self-funders This chapter was updated throughout, to add further clarity.
Continuing Healthcare (NHS) This chapter was amended to reflect the revised guidance, as linked above. Section 1, Introduction has been updated and links to guidance information have been updated.
Dementia: Practice Guidance This chapter was amended to add more information in Section 8, Safeguarding Adults with Dementia.
New chapters
Ill Treatment and Wilful (Deliberate) Neglect This chapter outlines the main offences related to individual workers or organisations working with people with care and support needs.
Emerging Concerns Protocol This chapter summarises the Emerging Concerns Protocol which was developed via the Health and Social Care Regulators Forum and published by the Care Quality Commission, to enable organisations and partners to act early where there are concerns.
Glossary Some additional terms to add to your glossary, including: critical reflection; outcomes focused practice; person centred practice; reflexive; strengths and asset based practice; supervision and values. These have been taken from Post-qualifying Standards for Social Work Practice Supervisors in Adult Social Care (DHSC, 2018)

The chapter you wish to amend must be copied into Word and amended using track changes. Click here Making Changes to Chapters for information about how to make the changes in the way we require.

Please contact Neil Humphreys, DoLS Quality Assurance Manager at Trafford Council, using the Contact Form, if you have any queries or suggestions.

Date of Next Revision

This APPP is usually updated every six months. The next revision, therefore, will be available in December 2019.


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.

Where chapters have the same titles in the ASC and TSSP contents, the TSSP chapters end with ‘(TSSP)’ to easily identify them when using Search.

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.

Practice Hotspots

The Practice Hotspots section is managed by Neil Humphreys, MCA and DoLS Service Manager in Trafford  and contains information about current practice issues for all practitioners working with adults in Trafford.

Social Work Forums

The Social Work Forums is a facility for staff in Trafford Adult Social Care to discuss different practice issues. It is located within the Practice Hotspots section (see above) of this APPP. Only staff employed by Trafford Adult Social Care can participate. When you enter your email address to sign up, you must first agree to the terms of use for the Forums.

Click here to read Using the Social Work Forums.

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 resource has been designed to be used online. It is easier to update web-based procedures rather than a hard-copy manual, 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 APPP resources are 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 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.