Meeting documents

Cabinet
Wednesday, 3rd November, 2004

APPENDIX 1

Report to Executive

4-Monthly Performance Report

Date

October 2004

   

Reporting Area

Social Services

Lead Director

Jane Ashman

SCOPE OF REPORTING AREA

Adult Care & Commissioning

Children & Family Services

Main achievements

_ The Keepsafe Project, an initiative designed to assess young people with sexually harmful behaviours, was the overall winner of the Southern Region Health & Safety Award in the Children's Care category. The project was recognised for providing a good quality service, demonstrated by the fact that of the 27 young people assessed and assisted through the initiative, there have been no re-convictions. The Keepsafe Project will now go forward into the national final of the Social Care awards.

_ Children & Family Services received a positive report from the Commission for Social Care Inspection (CSCI) following their annual inspection of Fostering Services.

_ A project to introduce the concept of Person Centred Planning, a means by which people with disabilities are encouraged to work on their own personal objectives and aspirations, has been implemented within the Learning Difficulties Service. Although it is in a fairly early stage it is already bringing benefits to those involved.

_ The outcome of a recent OFSTED inspection of Hazelwood Day Nursery was extremely encouraging; the nursery received a very positive report.

_ A Partnership Agreement with the Primary Care Trust (PCT) for the provision of jointly managed health and social care services for people with Learning Difficulties has been completed. A new post of Joint Services Manager has been created; the post holder will be responsible for both health and social care staff, the commissioning of all services for people with learning difficulties, and a total budget of £13M.

_ As part of the previously reported revision of Home Care Services, the allocation of staff to their new teams has now been completed.

_ A group of young people Looked After by the Local Authority successfully completed Teenagers to Work placements in settings across the council and with other local employers.

_ A joint training initiative, Continuing Health Care, has been rolled out for Health and Social Care employees. This will ensure a greater understanding of the policies and procedures related to peoples entitlement to free long-term NHS care.

_ A survey to identify DeafBlind people in the Bath & North East Somerset area was launched to coincide with national DeafBlind week in June. As a result of the timing of the launch the survey achieved good coverage in the local media.

_ In line with the e-government initiative, Adult Care Services are piloting the use of electronic "tablets". These computerised note books will enable social workers to electronically record clients' assessments when they visit them in their own home.

Planned Actions not achieved

_ 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

_ A workshop has been held with senior managers in the PCT to explore how health and social care services for both older people and young adults with physical impairments could be more closely aligned.

_ The establishment of an Every Child Matters Project Board will encourage greater cross service working and ownership of the recommendations outlined within the Green Paper and the Children Bill.

_ The Action Plan being compiled following the inspection of Fostering Services provides the opportunity to respond to the good practice recommendations from CSCI while building on existing good service and performance.

Potential threats

_ Continuing problems in recruiting and retaining social work staff across all service areas in Social & Housing Services is recognised as a potential threat to our ability to provide adequate services in a timely fashion.

_ The cost of placements for children with complex and challenging needs has a negative impact on the overall budget for the Service.

_ The overall financial position for Social Services is a considerable threat. The forecast position for 2004/05 is an overspend of £1.05 million, which is mainly due to residential, nursing and domiciliary care placements for older people.

Update on Corporate Projects

The Local Preventative Strategy, aimed at promoting the health and wellbeing of children in Bath & North East Somerset, is nearing completion. Lead groups are being established to progress the objectives of delivering improved outcomes for children, over the next 5 to 15 years, through increased partnership working.

_ Progressing the Accommodation Strategy: a number of moves within the Services have taken place with more planned in the near future.

_ Preparations for the implementation of the Children Bill are progressing.

2. Reporting on targets and commitments made in the Performance Plan

Summary of Performance

Performance Targets

No.

%

RED

2

12%

AMBER

1

6%

GREEN

14

82%

NOT KNOWN

-

 

TOTAL

17

100%

Ref No

Indicator

Best 25% of all English Councils

02/03

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

10.10%

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.

50

% of children looked after who are leaving care aged 16 or over with at least one GCSE at grades A*-G or GNVQ

50%

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

61.10%

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

8.57%

3.80%

5.21% (E)

5%

5.2%

Green

 

197

% reduction in conception rate for females aged 15-17 from 1998 base rate

N/a

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

15.37

4.90

6.71

7.25

7.25

Green

 

54

Number of older people helped to live at home per 1,000 65 or over

72.20

71.50

65.27

67

67

Green

 

56

Percentage of items of equipment delivered within seven days

N/a

New

72.72%

95%

85%

Amber

New computer system at joint store is still bedding in, improvements expected by year end.

58

% of people receiving a statement of their needs and how they will be met

95%

96.60%

97.40%

98%

98%

Green

 

195

For older clients, % of assessments meeting acceptable waiting times

N/a

New

45.88%

55%

66%

Green

 

196

For older client, % where the time from completion of the assessment to provision of all services is less than 4 weeks

N/a

New

79.47%

90%

92%

Green

 

201

(New)

Number of adults and older people receiving direct payments at 31 March per 100,000 population aged 18 years or over

N/a

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 (£)

£582

(Average)

£425

£555 (E)

£570

£570

Green

 

52

Average gross weekly cost of providing care for adults and elderly people (£)

£440

(Average)

£507

£521 (E)

£536

£536

Green

 
 

COMMITMENTS

             

C11

Develop information systems for monitoring the effectiveness services to disadvantaged teenagers

         

Green

On target for completion by end of year

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

         

Green

On target for completion by end of year

3. Disability and Ethnicity - Reporting on Staff and Service Users

Staff

 

Number of Staff

% of workforce

Target by 2008

Grade

 

978

   

Lowest

Highest

Disabled Staff

27

2.76%

5%

Manual worker 1

Hay Grade G

Disability status not revealed

6

0.6%

 

Miscellaneous

Grade

Hay Grade L

Black and minority ethnic staff

34

3.5%

5%

Manual worker 1

Hay Grade I

"Other White" minority ethnic staff

17

1.7%

 

Manual worker 4

Hay Grade I

Ethnicity details not revealed

24

2.4%

 

Manual worker 3

Hay Grade I

Service User from Ethnic Minorities

 

Number of Clients

% of Clients

Adult services

84

2 %

Children & Family Services

85

12%

(N.B. data excludes people receiving services from Mental Health Teams)