Most authorities split their adult social care in to groups of specialties. Ours is learning disabilities, mental health, sensory, hospital discharge, neuro-rehab (severe aquired brain injury or strokes in the under 60s) and 'generic'. Generic covers mild LD, mild mental health (mild means not severe enough to meet criteria for the specialist teams) and all adults with physical disabilities and dementia. The vast (80%+) majority of my caseload is older adults with either dementia or post stroke. I also see people with cerebral palsy, post polio disease, aquired physical injury (e.g quadraplegia), MS etc.
I do everything from initial assessment (e.g. "mum had a fall and cant shower herself anymore, what do I do?"), setting up care packages, supporting carers, supporting and placing in care homes, safeguarding, advice and information etc.
I absolutely love my job. Before working in adults I thought I'd hate it. I thought I couldn't cure dementia so what difference could I make? But the support and relief I give to service users, carers and families is amazing. Yes it can be hard, harrowing at times. I see neglect, abuse and sadness frequently, but I can and do make a difference. I've had to go to court. The law is complex and intricate.
Mental capacity is the biggest factor in my job- people can choose to make bad decisions!
My biggest bugbear is the ineffectiveness of safeguarding. In reality, unless it's a crime, there is very little we can do.