Meeting documents
Cabinet
Wednesday, 2nd March, 2005
Report to Executive
4-Monthly Performance Report
|
Date |
February 2005 |
|
Reporting Area |
Social Services |
|
Lead Director |
Jane Ashman |
SCOPE OF REPORTING AREA
Adult Care & Commissioning
Children & Family Services
Main achievements
A7 In November Social Services received notification that they had retained their 2 star rating. The assessment by the Commission for Social Care Inspection (CSCI) concluded that Children's Services were serving most children well with promising prospects for improvement, while Adult Services were deemed to be serving some people well with promising prospects for improvement.
A7 Children & Family Services Adoption Services received their first inspection by the Commission for Social Care Inspection (CSCI). The inspection report has not yet been received, however, the initial verbal feedback was positive.
A7 A 93Festive Fact-Finding Exhibition94 was held for Members on 7th and 8th December to inform and raise the awareness of elected members to the work undertaken by Social & housing Services.
A7 A specially designed referral form for people whose first language is Mandarin or Cantonese has been designed in consultation with the Bath East Asian Chinese forum (BEACH).
A7 A day conference for people with learning difficulties was held for over 50 people with learning difficulties and their supporters; the keynote speech was given by Rob Greig, head of the Department of Health's Valuing People team.
A7 Waterside Family Centre, who provide support and guidance for families experiencing parenting problems, have received the Children's Rights Charter.
Planned Actions not achieved
A7 Four of the performance targets set for the year end 2004/05 will not be achieved. These have been identified by a Red status in the following PI section of this report where explanations are provided in the comments section.
A7 Implementation of the changes to Home Care Services, due to on-going negotiations with staff and trade unions regarding changes to working practices.
Development Opportunities
A7 A review looking at 93Back Office processes94 has produced some viable implementation proposals for revisions to the Home Care invoicing processes which should release resources for savings and investment. The review team are now turning their attention to other areas of consideration, including the commissioning of external services.
A7 Taking the Local Preventative Strategy to wider audiences, including Local Strategic Partnerships, and raising the profile of children and young people across partner agencies
A7 The change in venue for the Keynsham day service will enable the service to increase its volume by 25%, while the temporary loss of Carrswood Day Centre, during the construction of the new day centre, will provide an opportunity to develop more community based services
A7 Taking forward the recommendations of the review of short break services for people with learning difficulties carried by the Health and Social Services Overview & Scrutiny Panel.
Potential threats
A7 A new client record index system, CareFirst, was introduced in 2004. Recent checks have indicated that there are some gaps in data on this system, which are attributed to staff adjusting to the new system. Contingency plans are now in place to ensure missing data is captured and entered.
A7 There is an ever-present threat of potential high cost placements for some looked after children with complex needs, which would impact upon the overall budget position. Within Children & Family Services this is compounded by problems related to the recruitment of staff and foster carers in very competitive market.
A7 Work on modelling fee prices and purchasing budgets for nursing and residential care is underway for Adult Services.
Update on Corporate Projects
A7 The final version of the Local Preventative Strategy, aimed at promoting the health and wellbeing of children in Bath & North East Somerset, is virtually completed plans are being made for a formal launch.
A7 Every Child matters agenda being progressed across agencies with presentations made to Council members, Primary Care Trust and Local Strategic Partnership members.
2. Reporting on targets and commitments made in the Performance Plan
Summary of Performance
|
Performance Targets |
No. |
% |
|
RED |
4 |
21% |
|
AMBER |
2 |
10.5% |
|
GREEN |
13 |
68.5% |
|
NOT KNOWN |
- |
|
|
TOTAL |
19 |
100% |
|
Ref No |
Indicator |
Best 25% of all English Councils 03/04 |
02/03 actual |
03/04 actual |
04/05 target |
04/05 estimated outturn |
Status |
Comment |
|
CHILDREN |
||||||||
|
49 |
% of children looked after with three or more placements during the year |
16.10% |
10.10% |
10.83% (E) |
10% |
12% |
Red |
New CareFirst system encourages better reporting, the result is more accurate data on which this estimate is based. This performance remains in the best quartile nationally for this indicator |
|
50 |
% of children looked after who are leaving care aged 16 or over with at least one GCSE at grades A*-G or GNVQ |
57% |
80% |
71.43% |
60% |
60% |
Green |
|
|
161 |
% of young people looked after, aged 16, who were engaged in education, training or employment at the age of 19 |
65.9% |
54.50% |
57.14% (E) |
50% |
50% |
Green |
|
|
162 |
% of child protection cases which should have been reviewed during the year that were reviewed |
100% |
100% |
100% |
100% |
100% |
Green |
|
|
163 |
% of children looked after adopted |
9.1% |
3.80% |
5.21% (E) |
5% |
5.2% |
Green |
|
|
197 |
% reduction in conception rate for females aged 15-17 from 1998 base rate |
-14.9% |
New |
25.31% |
27.8% |
27.8% |
Green |
|
|
C11 |
Develop information systems for monitoring the effectiveness services to disadvantaged teenagers |
N/a |
N/a |
N/a |
Do It |
Green |
On target for completion by end of year |
|
|
ADULTS |
||||||||
|
53 |
Number of households receiving intensive home care per 1,000 65 or over |
15.7 |
4.90 |
6.71 |
7.25 |
6.1 |
Red |
On-going investigations have revealed irregularities in reporting last year that mislead target setting |
|
54 |
Number of older people helped to live at home per 1,000 65 or over |
101.20 |
71.50 |
65.27 |
67 |
61 |
Amber |
Recent reduction in numbers of people receiving home care following changes to eligibility criteria. |
|
56 |
Percentage of items of equipment delivered within seven days |
88% |
New |
72.72% |
95% |
85% |
Amber |
Although the cumulative figure for the year is below target the month on month figures are improving and close to the target - 94% achieved during December |
|
58 |
% of people receiving a statement of their needs and how they will be met |
96.1% |
96.60% |
97.40% |
98% |
98% |
Green |
|
|
195 |
For older clients, % of assessments meeting acceptable waiting times |
74.7% |
New |
45.88% |
55% |
70% |
Green |
|
|
196 |
For older client, % where the time from completion of the assessment to provision of all services is less than 4 weeks |
89.0% |
New |
79.47% |
90% |
74% |
Red |
Considerable improvements in 195 above have had a negative impact on this indicator. Although considerably less than the ambitious target the current outcome is very close to that of last year. |
|
201 (New) |
Number of adults and older people receiving direct payments at 31 March per 100,000 population aged 18 years or over 2 |
150 |
N/a |
18.89 |
57 |
30 |
Red |
The numbers of Direct Payments are now increasing at a greater rate and it is anticipated that the Council will meet the threshold target set by the Department of Health |
|
C12 |
Support the independence of older people by moving joint equipment store to more suitable premises, update computerised stock control systems, expand equipment delivery service, introduce telecare equipment, implement pooled budget with the Primary Care Trust |
N/a |
N/a |
N/a |
Do It |
Green |
On target for completion by end of year |
|
|
EXPENDITURE |
||||||||
|
51 |
Average gross weekly expenditure per looked after child in foster care or children's home (A3) 2 |
A3514 (Average) |
A3425 |
A3556 |
A3570 |
A3570 |
Green |
On target as fostering placements costs have only increased by inflation. Residential placements are small in number so although a small overspend should not significantly affect target |
|
52 |
Average gross weekly cost of providing care for adults and elderly people (A3) 2 |
A3437 (Average) |
A3507 |
A3490 |
A3536 |
A3536 |
Green |
This figure includes all residential, nursing and intensive home care for all client groups. Estimated target figure anticipated 9% increase in average unit costs. Currently on target as intensive home care performance dipped from 2003/04 reported figures. Also fees to independent sector increased by A320pw to A330pw above budgeted per placement. |
|
COMMITMENTS |
||||||||
|
C11 |
Develop a Local Preventative Strategy for Children in Need |
Done |
Green |
|||||
|
C12 |
Support the independence of older people by moving joint equipment store to more suitable premises, update computerised stock control systems, expand equipment delivery service, introduce telecare equipment, implement pooled budget with the PCT |
Done |
Green |
3. Disability and Ethnicity - Reporting on Staff and Service Users
Staff
|
Number of Staff |
% of workforce |
Target by 2008 |
Grade |
||
|
837 |
Lowest |
Highest |
|||
|
Disabled Staff |
20 |
2.39% |
5% |
Manual 1 |
Hay Grade G |
|
Disability status not revealed |
3 |
0.4% |
Hay Grade O |
Hay Grade J |
|
|
Black and minority ethnic staff |
29 |
3.5% |
5% |
Manual 1 |
Hay Grade I |
|
93Other White94 minority ethnic staff |
17 |
2% |
Manual 4 |
Hay Grade I |
|
|
Ethnicity details not revealed |
29 |
3.5% |
Manual 4 |
Hay Grade J |
|
Service User from Ethnic Minorities
|
Number of Clients |
% of Clients |
|
|
Adult services |
71 |
2% |
|
Children & Family Services |
46 |
11% |
(N.B. data excludes people receiving services from Mental Health Teams)
1 Top 25% data not calculated by Audit Commission - PAF top performance band boundary given instead.
2 Top 25% data not calculated by Audit Commission - PAF top performance band boundary given instead.