Agenda Item No 11
The Vale of Glamorgan Council
Healthy Living and Social Care Scrutiny Committee: 13th March, 2017
Report of the Director of Social Services
Accommodation with Care for Older People
Purpose of the Report
To inform Members of the progress made to date in developing a coherent strategy for the way in which the Council can help to ensure that the needs of older people for Accommodation with Care will be met.
1. That Members note the work that has been completed to date.
Reason for the Recommendation
1. To ensure that Members continue to exercise effective oversight of this important area of work.
The Council's Commissioning Strategy for Older People's Services 2011-18 drew attention to the challenges involved in the provision of sufficient accommodation with care facilities in a context where the market and policy changes were not responding quickly enough to higher levels of need. It identified the imperative for putting in place new service models which would provide increased support options at all stages of the older person's pathway.
The Commissioning Strategy was designed to make best use of the resources available to social services by encouraging a reablement approach to care and reducing the pressure to accommodate growing numbers of older people in traditional residential settings. It involved developing further the use of assistive technology and a focus on partnership with other local authorities, the NHS, the third and private sectors to ensure that people are supported proportionately and in a way that maintains independence as long as possible.
Efforts to put in place the new service models have remained a priority for the Council. For example, the regional Intermediate Care Fund (ICF) grant in 2016/17 was used to sponsor a number of relevant schemes, following the approach adopted in shaping previous Regional Collaboration Fund and ICF programmes. Each of the ICF projects has been shown to be effective in reducing the need for hospital admissions or reducing the length of the individual's stay in hospital. Case studies for these projects have been included in the evaluation of these programmes, to demonstrate their effectiveness.
These matters are reported to the Scrutiny Committee on a regular basis. The Social Services Directorate and the Housing Service have developed the following services/projects:
- Redlands, Penarth - Accommodation Solutions Reablement units;
- A Respite Flat within the Extra Care facility at Golau Caredig, Barry;
- Reablement beds within Ty Dyfan residential care home, Barry;
- Ongoing development of the Vale Community Resource Service.
The Commissioning Strategy still aligns well with the objectives set in the Corporate Plan 2016-2020, especially Well-being Outcome 4: Objective 8 which has as its main action a review of accommodation with care options for older people and developing our commissioning strategy for future years.
Relevant Issues and Options
The Council has been working on development of an effective Accommodation with Care Strategy for a significant period of time. It has been a very incremental process, necessarily so because of inherent complexity in mapping a wide range of accommodation options, the need to understanding the way in which markets operate locally, the number of policy changes at UK and Welsh Government levels, etc.
The Social Services Well-being (Wales) Act 2014 states that the Cardiff and Vale region must complete a market position statement. This has been commissioned on a regional basis through the Intermediate Care Fund. We anticipated that the report would be ready by the end of this financial year but it has been delayed until June because of the need to ensure that all relevant policy is encapsulated. At the same time, the Population Needs Assessment has been completed and awaits endorsement by the statutory partners. The Regional Partnership Board must provide an annual plan in response to its findings by March 2019 and this will need to reflect the commissioning intentions of the Vale of Glamorgan Council. At the same time, the implementation plan for the Social Services and Well-being (Wales) Act 2014 focus upon the role of preventative services. This remains a key priority for this Council and additional capacity has been made available to lead this important piece of work.
Additionally, from 2018, the two local authorities and the University Health Board are required to jointly commission services. The legislation mandates that we pool budgets for care home placements but there are clear advantages to pooling resources (including assets) in other areas of health and social care. It is possible that accommodation with care could be one such area.
However, significant challenges remain, especially given reducing financial resources available to the Council and rising demand for services for people aged over 65. Given the need for both capital and revenue investment in accommodation for care facilities, potential changes in legislation and policy need to be taken into account when planning service developments that will take some time to achieve.
Resource Implications (Financial and Employment)
Until the programme has been properly scoped, it is not possible to identify the resource implications or all the potential sources of funding. We are aware that, if an Older People's village is considered feasible, the Council has money available from the sale of assets which will be used for this work.
Officers are regularly approached by representatives from the commercial and third sectors seeking support for proposals to develop schemes that will help to increase the stock of accommodation with care facilities. We are looking to introduce at corporate processes that will ensure better co0ordinate of different directorates so that the Council can maximise the potential opportunities and access funding from different sources.
Sustainability and Climate Change Implications
There are no climate change implications as a direct result of this report. Effective delivery of commissioning responsibilities helps to ensure that the Council's assets are managed efficiently and that best use is made of the resources available for social care services, establishing sustainable models of assistance and support as well as contributing to the most appropriate ways of meeting the needs of vulnerable people.
Legal Implications (to Include Human Rights Implications)
At this stage, there are no direct legal implications arising from the report.
Crime and Disorder Implications
There are no direct crime and disorder implications as the result of this report.
Equal Opportunities Implications (to include Welsh Language issues)
Commissioning of care services has to ensure that they are accessible to all those eligible to receive them and this will require Equalities Impact Assessments to be carried out, where appropriate.
The work outlined in this report addresses the following corporate objectives outlined in the Corporate Plan 2016 - 2020:
Well-being Outcome 4: An Active and healthy Vale
Objective 8; Safeguarding those who are vulnerable and promoting independent living.
Action: Review accommodation with care options for older people and develop our commissioning strategy for future years (2016/17); and
Wellbeing Outcome 1: An Inclusive and Safe Vale
Objective 2: Providing decent homes and safe communities
Action : Provide appropriate accommodation and support services for particular vulnerable groups (2019/2020).
Policy Framework and Budget
These are matters for Executive decision.
Consultation (including Ward Member Consultation)
The issue potentially relates to all areas within the Vale of Glamorgan Council and so there has been no individual ward consultation.
Relevant Scrutiny Committee
Social Care and Health.
Suzanne Clifton, Interim Head of Business Management and Innovation
Head of Adult Services
Head of Housing Services
Philip Evans, Director of Social Services