It is evident that most are women and they work on a part time basis. The ratio of the workers to those who need the domiciliary services is unproportion.This calls for more input in the sector in order to improve its productivity. Another challenge where labour I s concern is technical qualifications of the workers, it was estimated that a large minority of all carers had no formal qualifications for the job; in the year 2001 29% of all women care workers and 19% of all men care workers were not qualified (Dean, 2006).
The workers ration should be therefore improved to cater for its needs effectively>Training of those working should also be arranged and also organization should seek to employ competent and qualified labours.Men should be encouraged to venture in this field by citing of what it entails the benefits, experience that accompany it in order to improve (Robin, 2008).
Local authorities are responsible for the commissioning and purchasing of social care services in the country to add on to that they are involved in offering specialist services in this sector. The services should be offered more intensively to improve quality and cater the required needs. This is because it was estimated that 73% of care service is offered by independent care provider s during the year 1995 (Dean, 2006).
Direct payments for these services should be arranged to workers and individualized care budgets should be formulated in order to improve close monitoring and rendering of this services.Indepedent sectors should also be empowered as they prove to be more efficient in service delivery (Titmuss, 1951).
The government advocates for fair charging, the local authorities charges for services offered by domiciliary care services in order for them to be able to maintain and develop services to vulnerable people. The charging policy should be designed to comply with fairer charging guidance for them to provide reasonable charge framework to all users of the services .This will make the services affordable even to the low income earners who need the services (Dean, 2006).
CSCI has come up with procedure for quality rating of home care which rates them as either good adequate or poor. This provides the people with knowledge of how registered services are performing against the set national standards. This sets out how to buy domiciliary services which is greatly influenced by independent and transparent rating system. These ratings should be adhered to in order to provide a means of evaluation to the home care services givers. Those who do not met the required standards and qualities should improve and if they are unable to give standard services then they should not be allowed to continue offering the services.
Awareness is to be raised among the staff about the policy ensuring that it's applied consistently and transparently. The council should also bear duties to self-funders by confirming that Adult Social Care that the council has a policy for purchasing the domiciliary care or share but prior to a request that can be made. The policy should also be published on relevant mediums for effective communication of the policy (Robin, 2008).