SCRUTINY COMMITTEE (SOCIAL CARE AND HEALTH)
Minutes of a meeting held on 15th April, 2013.
Present: Councillor R.J. Bertin (Chairman); Councillors Ms. K. Edmunds, K.J. Geary, Dr. I.J. Johnson, A. Parker, Ms. R. Probert, J.W. Thomas and S.T. Wiliam.
Also present: Councillor S.C. Egan.
1046 APOLOGIES FOR ABSENCE –
These were received from Councillors Mrs. M.E.J. Birch and Ms. R. Birch.
1047 MINUTES –
RECOMMENDED - T H A T the minutes of the meeting held on 11th March, 2013 be approved as a correct record.
1048 DECLARATIONS OF INTEREST –
No declarations were received.
1049 THE FUTURE OF BRYNEITHIN CARE HOME SITE (REQUEST FOR CONSIDERATION) –
1049a THE CLOSURE OF BRYNEITHIN RESIDENTIAL CARE HOME (REF) –
(Matter which the Chairman had decided was urgent by reason of the need to consider the reference at the same time as the request for consideration)
Committee agreed to consider the request for consideration and the reference from Cabinet of 8th April, 2013 at the same time.
The Request for Consideration, received from Councillor Dr. I.J. Johnson, gave the reasons for the request as:
"A newspaper report in the South Wales Echo on 7th March, 2013 said that plans were in place to close the Bryneithin home in Dinas Powys.
In a previous report (SW Echo 9th July, 2012) the Head of Adult Services said that the facility had been run at a cost of £450,000 p.a. during the 2011/12 year.
When the future of Bryneithin was last discussed by the Social Care and Health Scrutiny Committee on 8th October 2012 it was recommended “'THAT Cabinet be requested to give consideration to the future use of Bryneithin as a site for social care subject to ongoing contractual commitment”.
Rejecting this proposal at the Cabinet meeting of 5th November 2012, Cabinet instead 'RESOLVED - THAT the Council's current position on Bryneithin is that it continues to operate as a registered care home. This commitment will continue for as long as necessary. Consideration to future options of the future use of the site would be given as and when appropriate.'
Assuming that reports regarding the closure of Bryneithin are correct then this is an appropriate time for consideration of future options.
As such we would like a full written report to the Social Care and Health Committee at the next appropriate meeting outlining both short and long-term issues regarding the site, including:
in the short term
(a) the timeframe for closure of the site in its current format
(b) anticipated costs of site maintenance etc for 2013/14 and future years
(c) staff costs for 2013/14 and staff deployment proposals
(d) any additional costs for Bryneithin site not included in the above
(e) what savings are anticipated to be accrued from closure of the site in the 2013/14 financial year in respect of the agreed directorate budget and savings targets
and in the medium to longer term
(a) which options have so far been discussed informally with regards to the future of the site, including as an older people's village (for which a feasibility study is timetabled for 2013/14)
(b) what negotiations have taken place regards the future of the site, including discussions regarding capital funding for social care re-development and any negotiations or plans regarding disposal of the site for purposes other than social care.
The report should indicate when a full options report will be presented to Cabinet including indicative timescales for decisions regarding the site's future."
Committee were also advised that Cabinet on 8th April, 2013 had been informed of the closure of Bryneithin Residential Care Home and had been requested to agree the arrangements being put in place to consider the future use of the site.
Cabinet had been informed that Bryneithin had not admitted any new residents since the decision to close was made by Cabinet in December 2009. Since that time, the staffing resource of the home had been constantly reviewed and tailored to meet the care needs of reducing numbers of residents.
The last resident of Bryneithin had left the home and Bryneithin was now closed. The site continued to provide temporary catering facilities for two other residential care homes, whilst essential work was carried out to their kitchens.
It was essential that the Bryneithin site was kept secure throughout any period of transition. Extensive security arrangements were already in place and these would be reviewed when the remaining services were withdrawn from the site.
A Corporate Project Group was being set up to consider future use of the site, led by the Head of Adult Services and with the assistance of the Council's Major Projects Unit. From the outset, the project group would consider options for the site that would assist the Council in meeting the social care needs of older people. It was noted that this exercise would be conducted in the context of there being no funds available from the Council's Capital Programme. The project group would seek to engage with relevant stakeholders, including the Cardiff and Vale University Health Board.
Cabinet had resolved
1. That the closure of the Bryneithin Residential Care Home be noted.
2. That the arrangements to generate possible options for the Bryneithin site to assist in meeting older people's needs for care and support once it had been vacated be approved.
3. That the Director of Social Services produce regular reports for Cabinet outlining the progress made with this work.
4. That Cabinet receive an options appraisal in due course to enable informed decisions about the Bryneithin site.
5. That the Director of Social Services be authorised to make arrangements for securing the Bryneithin site, including the demolition of the buildings if necessary, in consultation with the Leader, the Cabinet Member for Adult Services and the Managing Director.
6. That the report be forwarded to the Social Care and Health Scrutiny Committee for information.
7. That a Cabinet Working Group be established, led by the Cabinet Member for Adult Services, to oversee and be involved in all future options for the Bryneithin site and any consultation with the relevant stakeholders.
Questions were asked as to:
timescales for the development of the site
transfer of services to other sites
the future of dementia services in the Vale
what were the medium / long term options for the site.
Committee were advised that the catering facility being provided for two other homes on a temporary basis had ceased the previous week.
The Crossroads Day Service had vacated Bryneithin on 5th April, 2013. This meant that no services were being run from the Bryneithin site.
In terms of staff redeployment, it was too early to give definitive answers at present. The staffing complement had been reduced at the home and the Council was currently in a consultation process.
Regarding the security of the site, the site had now been made secure. This situation would be reviewed and the Council would continue to maintain the security.
There were a number of strategies to take account when planning care and support services for adults and older people. An emerging issue was how we should provide for meeting the needs of adults with early onset dementia. Some developments were in the planning stage.
There were questions about whether a longer-term plan should have been put in place some four years ago but this would have been premature and it would now be outdated, which highlighted the danger of planning too far ahead. The Working Group established by the Cabinet would be considering the service's needs. It was too early to say that there was an agreement as to where the service was going but some areas of consensus about the need to provide services which allow people to have as much independence as possible.
Councillor S.C. Egan, Cabinet Member for Adult Services, was present at the invitation of the Committee. He advised that there was not much else he would wish to add other than what was in the report to Cabinet on 8th April, 2013.
Councillor Egan stated that he expected to site to be used for older people. The Council had no capital monies available and could only create something with the assistance of other organisations, for example, the UHB or a housing association. At this stage it was not possible to say what should go on the site, although it was agreed that the use would have to be sustainable.
With the consent of the Committee, Margo Farbrace of the Save Bryneithin Action Group advised that the Vale was under prepared for the aging population. The number of dementia cases was expected to increase and there was a need to develop care for people in these circumstances. Increasingly, dementia was affecting younger people and, apart from Ty Dyfan, there was not much provision for these people in the Vale.
Ms. Farbrace stated that she was all in favour of Bryneithin being developed and asked the Council to look at other options rather than closing the home.
Ms. Farbrace realised that the Council faced a challenging budget, but all evidence pointed to an increase in this area of need. Ms. Farbrace asked the Council to look at different models of dementia care.
Ms. Farbrace had a vision that Bryneithin could be developed as a centre of excellence for dementia sufferers.
Councillor Egan reiterated his view that the site should be used for services for older people and further stated that he had no preconceived ideas about what should be developed on the site.
Committee were reminded that it had considered and endorsed a recent report relating to the strategy for older people and had agreed the vision for the future. Additionally, reports had been brought regarding the role of Third Sector and independent providers of services. More work was required to ensure that the Cabinet Working Group had all the information available to it to create a sustainable use for the site.
Following discussions on the issue, it was
(1) T H A T the resolutions of Cabinet of 8th April, 2013 be noted.
(2) T H A T Cabinet be requested to give consideration to the future use of Bryneithin as a site for social care.
(3) T H A T a progress report be brought before each future meeting of the Scrutiny Committee (Social Care and Health), to include the issue of the security of the site.
Reasons for recommendations
(1) Having regard to the resolutions of Cabinet.
(2) In order to request Cabinet to give consideration to the future use of Bryneithin as a site for social care.
(3) In order to monitor the progress being made regarding the Bryneithin site.
1050 STANDARD RATE FOR CONTRACTING PLACES IN THE INDEPENDENT SECTOR (REQUEST FOR CONSIDERATION) –
The Request for Consideration received from Councillor Dr. I.J. Johnson gave the reasons for the request as:
“The standard rate for contracting places in the independent sector was brought forward to cabinet on 18th March 2013 as a matter determined urgent by the Leader.
This issue was most recently discussed in scrutiny on 14th January 2013 when the Cabinet Member assured members that he would continue to provide updates. There were no further updates in February or March, although the Cabinet Member responded to a question from Cllr Dr Johnson on progress on 6th March 2013 at Full Council.
While in principle supportive of the agreement between the Council and the independent sector, and not wishing to delay implementation through a “call-in”, scrutiny of this decision is important and therefore a statement or report on this agreement, its budget implications going forward and the impact of multi-year agreements is requested at the next appropriate meeting.
If there are concerns regarding commercial confidentiality then this report could be taken under Part 2, if so wished.”
Councillor S.C. Egan attended at the request of the Committee to speak on this item.
Councillor Egan advised the Committee that, since 14th January 2013 there had been nothing further to report to the Scrutiny Committee.
This had been a very sensitive situation and the agreement reached with the independent sector had been reported to Cabinet on 18th March 2013, a copy of which had been distributed to all Members of the Council.
The figure determined in the agreement had been considered reasonable and to be funded in part from underspends in the Adult Services budgets.
Councillor Egan added that of significant importance was that the initial uplift this year was subject to the Care Homes providing the information needed by the Council as required for use of its toolkits.
The Council wanted to work with the Independent Sector. It was the intention of the Council to engage with them. The Agreement represented the amount that the Council could afford at the time.
Councillor Egan was quite sure that the Care Homes would work with the Council and that they would agree that the uplift was acceptable.
Mr. Brian West, with the consent of the Committee, advised that he felt the agreement was an excellent result. The Care Homes were grateful for the level of fees. Mr. West thanked the Council for the way it had conducted the negotiations.
The Director of Social Services advised that, within the fees set, there was an incentive for the independent sector to move towards the provision of care for dementia.
RECOMMENDED – T H A T the Committee receive regular updates on this matter in the future.
Reason for recommendation
To ensure that the Committee is kept up to date on the situation.
1051 IMPROVEMENT OBJECTIVES 2013/14 (MD) –
Committee were consulted on proposed improvement objectives for 2013/14.
A full review of the Corporate Plan had been undertaken during 2012 following local government elections and had identified eight priority outcomes for the Council. The proposed Improvement Objectives and associated actions for 2013/14 reflected priorities in the Corporate Plan and ensured that the council was focusing on those areas in need of the most improvement.
Appendix 1 to the report outlined the proposed objectives and provided a rationale.
Of the eight Council-wide objectives proposed for 2013, one fell within the remit of this Committee i.e. “to increase the number of Council foster carers”.
Members of the Committee noted that this issue had been discussed at its last meeting.
RECOMMENDED – T H A T the proposed improvement objective for 2013/14 entitled “To increase the number of Council Foster Carers” be endorsed.
Reason for recommendation
To ensure that the Council identifies and publishes annual improvement objectives for 2013/14 in line with the requirements of the Local Government Measure (Wales) 2009.
1052 THE VALE OF GLAMORGAN HEALTH, SOCIAL CARE AND WELLBEING PARTNERSHIP (DSS) –
Committee received an update on the work of the Health, Social Care and Wellbeing Partnership. Section 40 of the National Health Service Wales Act 2006 placed a statutory duty on each local authority and each Local Health Board (LHB) to prepare a health, social care and wellbeing strategy (HSCWBS) for the local authority’s area.
The HSCWBS provided a framework within which the two organisations and relevant partners set out how, together, they would:
drive forward improvements in the health and wellbeing of the local population
strengthen the planning and management of health and social services
improve outcomes for those who use them.
Welsh Government guidance required that the strategy for the three years 2011/12 – 2013/14 should focus more narrowly on two important areas:
improving the provision, quality, integration and sustainability of “overlapping services”
improving health and wellbeing and reducing inequities i.e. inequalities in health that were unfair and unavoidable.
The overall HSCWBS agenda for the Vale of Glamorgan was the responsibility of a Partnership which operated within the framework for strategic partnership established by the Local Service Board and the Council. The two strands of work set out in guidance were managed primarily by two Boards which the Partnership had established. These were the Integrated Health and Social Care Programme Board and the Public Health and Wellbeing Board.
The Integrated Health and Social Care Programme Board worked across Cardiff and the Vale of Glamorgan to co-ordinate agreed projects in respect of joint working between the two Councils, the University Health Board (UHB) and the third sector.
The main tasks of the Board were, through the oversight of key projects, to:
identify, by means of appropriate needs assessment, priority areas for improvement which require strengthened joint working to achieve better outcomes within existing resources
provide a framework to enable the operational integration of services across health and social care (to include workforce planning, resource planning, etc.)
ensure that local government and health professionals were able to work jointly within statutory and organisational governance arrangements that provide a framework of clear accountability.
A number of priority workstreams have been agreed: Mental Health Services, Older People’s Services (the Wyn Campaign), Learning Disability Services and Services for Children with Complex Needs because of disabilities.
Appendix 1 to the report outlined the key achievements and challenges faced by both Boards as they sought to drive forward the HSCWBS.
In considering the report and appendix, Members enquired as to the status of the integrated services review tendering exercise scheduled for completion in February 2013 as referred to in paragraph A5.6 of the Appendix i.e. “continue the programme of work that had been established to oversee the operational integration of health and social care services”. Committee were advised that the work had now been commissioned.
Members also spoke of paragraph A5.4 of the Appendix “Develop Barry Hospital as a Local Health and Treatment centre providing residents of the Vale with a centre of excellence for community based services” and noted that the UHB had not yet made a decision about capital funding for this scheme.
(1) T H A T the contents of the report be noted.
(2) T H A T Committee continues to receive reports every six months on the work of the Health, Social Care and Wellbeing Partnership.
(3) T H A T the Committee’s support be given to the request for capital funding as referred to in paragraph A5.4 of the Appendix to the report i.e. “Develop Barry Hospital as a Local Health and Treatment centre providing residents of the Vale with a centre of excellence for community based services”.
Reasons for recommendations
(1) To ensure that Members can exercise oversight of this important area of work.
(2) To ensure effective scrutiny of key developments in the delivery of the Health, Social Care and Wellbeing Strategy.
(3) To support the bid for capital funding.
1053 THE VALE OF GLAMORGAN AND CARDIFF INTEGRATED FAMILY SUPPORT SERVICE ANNUAL REPORT 2012/13 (DSS) –
Committee received the 2012/13 Annual Report for the Vale of Glamorgan and Cardiff Integrated Family Support Service (IFSS) which was to be submitted to the Welsh Government.
Through the provision of its Flying Start, Families First and IFSS programmes, the Council had in place a coherent framework for delivering the preventative, protective and remedial initiatives set out in relevant Welsh Government strategies. The IFSS had a key role to perform in helping to reduce the volume of avoidable admissions to the Looked After Children service by providing help to families where risks were escalating.
The IFSS programme was intended to provide better, more holistic support to families by breaking down boundaries between local government and health, between adult services and children’s services. It was delivered by a combination of highly skilled professionals from social care and health, acting as a single workforce.
Under the Children and Families (Wales) Measure (2010), local authorities and the NHS had a joint statutory responsibility for ensuring delivery of an IFSS. In July 2011, a consortium involving the Vale of Glamorgan and Cardiff Councils and the Cardiff and the Vale University Health Board made a successful bid to the Welsh Government to become one of two areas in Wales chosen to implement an IFSS under Phase II of the programme.
The IFSS was based at the Alps and had been operational since the end of February 2012. This service had five principal functions:
undertaking intensive direct work with families through the application of time-limited, family focused interventions
providing advice and consultancy to practitioners and agencies on engaging complex families with parental substance misuse
working jointly with the case managers and others to ensure that the family can gain access to the services they need
spot-purchasing services not otherwise available
providing training on evidence-based Interventions for the wider workforce.
Section 64 of the Children and Families (Wales) Measure 2010 required an annual report on the effectiveness of the IFSS to be submitted to the Welsh Government. A copy of the report was attached at Appendix 1 to the report and had been approved by the IFSS Management Board.
The report demonstrated that the IFSS was meeting expectations and taking a lead role in strengthening services to support some of the most disadvantaged children, those who were in need or at risk because of parental alcohol or drug dependence.
Members enquired as to capacity issues for the service and were advised that officers were required to have a limited case load to allow for intensive intervention.
(1) T H A T the content of the Integrated Family Support Service Annual Report for 2012/13 be noted.
(2) T H A T the work being undertaken to provide intensive support to families, especially those whose children were adversely affected by parental alcohol or drug dependence, be endorsed.
Reason for recommendations
(1&2) To ensure that the Council’s statutory functions in relation to providing an Integrated Family Support Service were fully met, in accordance with Welsh Government statutory guidance.
1054 SCRUTINY DECISION TRACKING OF RECOMMENDATIONS (DR) –
Members were advised of progress in relation to recommendations made by the Scrutiny Committee for:
2nd Quarter - July to September 2012
4th Quarter – January to March 2013.
Following discussions on the content of the report, it was
RECOMMENDED - T H A T the following recommendations be deemed completed:
14 January 2013
Min. No. 725 - Guidance and Priorities for the Adaptation of Homes of People with Impairments (DDS) – Recommended
(1) That the report be endorsed and be referred to Cabinet for consideration and approval of the following recommendations.
(2) That the Guidance and Priorities for the Adaptation of Homes of People with Impairments be approved.
(3) That the Director of Development Services, in conjunction with the Cabinet Members Housing, Building Maintenance and Community Safety, Children’s and Adult Services be given delegated authority to review and make changes to the Guidance and Priorities for the Adaptation of Homes of People with Impairments document, as appropriate.
(1-3) Cabinet, on 4th February 2013, endorsed the report and approved the Committee’s recommendations (Min. No. C1202 refers).
Min. No. 726 - Revenue and Capital Monitoring for the Period 1st April 2012 to 30th November 2012 and Update on the Social Services Budget Programme (DSS) – Recommended
(2) That the proposed amendment to the Hen Goleg Day Care Re-configuration Scheme, to include a budget of £37k, funded from a transfer from the Disabled Access Improvements Budget be endorsed and referred to Cabinet for approval.
(3) That the progress made on the Social Services Budget Programme be endorsed and referred to Scrutiny Committee (Corporate Resources) and Cabinet for information.
(2) Cabinet, on 4th February 2013, approved the recommendations of Committee (Min. No. C1994 refers).
(3) Cabinet, on 4th February 2013, noted the progress made (Min. No. C1994 refers).
11 February 2013
Min. No. 842 - Revenue and Capital Monitoring for the Period 1st April, 2012 to 31st December, 2012 and Update on the Social Services Budget Programme (DSS) – Recommended
(2) That the proposed amendments to the Capital Programme to reduce the Extra Care / Elderly Mental Infirm (EMI) Feasibility Budget to nil be endorsed and referred to Cabinet for approval.
(3) That the progress made on the Social Services Budget Programme be endorsed and referred to Cabinet for information.
(2) Cabinet, at its meeting on 4th March 2013, resolved that the proposed amendments be made (Min. No. C1241 refers)
(3) Cabinet, on 4th March 2013, approved the Committee’s recommendations (Min. No. C1241 refers).
Min. No. 844 - Autistic Spectrum Disorder: Community Monitoring and Support Project (DSS) – Recommended
(2) That Committee receive regular updates on the work of the project.
(3) That Cabinet be invited to indicate their support for the project.
(2) Added to work programme schedule.
(3) Cabinet, at its meeting on 4th March 2013, resolved that the work of the project be supported (Min. No. C1239 refers).
Min. No. 845 - Social Services Sickness Absence Update – Half Year – April to September 2012 (DSS) – Recommended that the contents of the report and the levels of sickness absence within the Directorate be noted and that Committee receive further summary reports in relation to this matter.
Added to work programme schedule.
Min. No. 846- Sustainable Social Services For Wales: A Framework For Action (DSS) – Recommended
(2) That Committee receives regular updates about the progress made in achieving the actions set out in the Local Government Implementation Plan for Sustainable Social Services, jointly submitted to the Deputy Minister for Children and Social Services by the Welsh Local Government Association and the Association of Directors of Social Services Cymru.
(3) That Cabinet be recommended to endorse the Local Government Implementation Plan.
(2) Added to work programme schedule.
(3) Cabinet, at its meeting on 4th March 2013, resolved that the Plan be supported (Min. No. C1240 refers).
Min. No. 847 - Children and Young People Services – Commissioning Strategy and Action Plan 2013 – 2018 (DSS) – Recommended
(3) That the report be referred to Cabinet with a recommendation that it endorses the objectives and principles contained within the document and the action plan.
(4) That the report be referred to Scrutiny Committee (Lifelong Learning) for information.
(5) That Committee receives regular progress updates on the delivery of the action plan.
(3) Cabinet, at its meeting on 4th March 2013, resolved that the objectives and principles be supported and that Cabinet receive regular progress updates on the delivery of the action plan (Min. No. C1238 refers).
(4) Referred to Scrutiny Committee (Lifelong Learning) 18th March 2013 meeting.
(5) Added to work programme schedule.
11 March 2013
Min. No. 964 - Revenue and Capital Monitoring for the Period 1st April, 2012 to 31st January, 2013 and Update on the Social Services Budget Programme (DSS) – Recommended
(2) That the progress made on the Social Services Budget Programme be endorsed and referred to Cabinet for information.
(3) That the May meeting of the Committee receive a detailed report outlining the likely outcome of the reduction in Contract Spend outlined in point C6 of Appendix 4 to the report.
(2) Referred to Cabinet meeting on 8th April 2013.
(3) Added to work programme schedule.
(2) T H A T with regard to Min. No. 966 The Council's In-House Fostering Service recommendation (3) “That the Committee’s appreciation of the work being undertaken by the foster carers, and their value to the Authority, be conveyed to all foster carers in the form of a letter signed by the Chairman of the Committee”, this action remained outstanding.
Reason for recommendations
(1&2) To apprise Members of progress with Scrutiny Committee recommendations.