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Agenda Item No. 6

 

 

THE VALE OF GLAMORGAN COUNCIL

 

AUDIT COMMITTEE: 28TH APRIL, 2014

 

REFERENCE FROM SCRUTINY COMMITTEE (SOCIAL CARE AND HEALTH): 10TH FEBRUARY, 2014

 

 

"818    REGULATORY REPORTS – IMPROVEMENT TRACKING (MD) –

 

The report sought to update the Scrutiny Committee on the above matter since it was last reported to the Committee in September 2013.  The report in itself set out the summary of recommendations and proposals which were included in regulatory reports and to track implementation of improvements to address those recommendations / proposals.

 

Set out in Appendix 1 to the report was a list of all recommendations / proposals made in regulatory reports since January 2011 where recommendations / proposals had not yet been fully implemented.  This included:

 

·         Care and Social Services Inspectorate Wales Annual Review and Evaluation of Performance 2011-2012 (November 2012) - actions completed.

·         Care and Social Services Inspectorate Wales Review of Adult Services and Vale Community Resource Service October 2011 (February 2012) - remaining actions to be deleted as they are no longer relevant.

·         Wales Audit Office Report on Delivery of Disabled Facilities Grants (November 2011) - actions well underway.

·         Care and Social Services Inspectorate Wales Annual Review and Evaluation of Performance 2010-2011 (October 2011) - actions well underway.

 

The Scrutiny Committee was asked to confirm that those actions that fell within the remit of the Committee that were identified as such had been completed and if agreed to refer the matter to the Audit Committee where they would be removed from the tracking report.  Once removed these completed actions would be archived along with the minute reference to maintain a clear audit trail.

 

Recommendation / Proposal

Reason for Activity

Progress Update

CSSIW Annual review and Evaluation of Performance 2011-12 (November 2012)

4. Continue to review how service can reduce the numbers of people experiencing delayed transfers from hospital.

There has been an increase in people experiencing delayed transfers from hospital – this has been attributed the Western Vale now being included in the data as well as difficulties in the mental health older people service, where half of all delays can be accounted for.

Completed

 

The rise in the level of delayed transfers of care from hospital for reasons involving the Council in 2012-2013 has been addressed. An integrated discharge service is now in place in addition to the recently developed Community Resource Service, both of which have had a significant positive impact on Delayed Transfers of Care.

 

In 2013/2014 the service committed to developing integrated social care and health assessment and care management teams for all adult services in partnership with the Cardiff and Vale University Health Board.

 

A DToC project group has been set up to monitor the rate of DToC on an ongoing basis and to ensure appropriate actions are in place

6. Commissioning person centred services for younger adults with complex mental health problems which are age appropriate.

Younger adults with mental illness who require intensive support are being placed in residential care designed for older people. This is not in line with person centred service provision.

Completed

 

It has been agreed that the UHB will lead in the development of a commissioning strategy for adults of working age with mental health problems.

CSSIW review of Adult Services and Vale Community Resource Service October 2011 (February 2012)

5. The consistency and quality of care plans requires further improvements.

There has been an increased development of an outcome based approach, some improvements in the construction of individual care plans and greater emphasis on priority outcomes that address risk to independence and well-being. However, the consistency and quality of care plans requires more work.

Deleted

 

This recommendations is no longer relevant as new  assessment framework due to be implemented in December which will consolidate improvements already made

6. Reviews need to be effectively evidenced on case files.

Reviews are being undertaken but are not yet effectively evidenced on case files.

Deleted

 

This recommendations is no longer relevant as new  assessment framework due to be implemented in December which will consolidate improvements already made

7. Reviews need to capture information about the quality of commissioned services to better inform commissioning and procurement processes.

There have been complaints about commissioned services such as the quality of care provided by agency workers. However, other service users value the services provided. These experiences need to be recorded and used to inform further commissioning processes.

Deleted

 

This recommendations is no longer relevant as new  assessment framework due to be implemented in December which will consolidate improvements already made

CSSIW Annual Review and Evaluation of Performance 2010-2011 (October 2011)

Adult Services

9. Develop and improve reporting on the outcomes achieved for and by service users.

The Vale has begun to use an outcome focussed version of the Unified Assessment process. This should enable it to focus on the outcomes that citizens are deriving from the services they receive. The Vale needs to develop an outcome focus to contracts for services.

Deleted

 

This recommendations is no longer relevant as new  assessment framework due to be implemented in December which will consolidate improvements already made

Annual Improvement Reports

Data Quality Review (August 2013)

1.  SCC/001 – The rate of delayed transfers of care for social care reasons per 1,000

population aged 75 or over.  Minutes are generated for every monthly delayed transfer of care case meeting. These should be circulated to all parties concerned and discussed as the first agenda item at the next meeting. This will record all patients discussed and the agreed outcomes.

The testing showed that the information recorded on the HOWIS system was incorrect and did not reflect the validated delayed transfer of care cases.

 

Completed. Duplicate systems remain in place to ensure accurate monitoring.

 

 

RECOMMENDED –

 

(1)       T H A T the above actions be agreed as completed.

 

(2)       T H A T the matter be referred to the Audit Committee for further consideration.

 

Reason for recommendations

 

(1&2)  In order to achieve continuous improvement of Council services."

 

 

  

Attached as Appendix – Report to Scrutiny Committee (Social Care and Health): 10th February, 2014