Meeting documents

Cabinet
Wednesday, 6th November, 2002

Report to Directors Group

Date

16th October 2002

Reporting Area

Social Services

Lead Director

Jane Ashman

SCOPE OF REPORTING AREA: Social Services are provided under Adult and Children and Family Service Heads, with Elderly Persons Homes managed by a third Head of Service. The Adult Services includes the assessment and commissioning of services to meet individual needs identified in care plans and the direct provision of day and residential services for people with a disability, learning difficulty, or mental health problems and older people.

The children and family services include social work involving child protection, looked after children, adoption and fostering, leaving care and providing support services to children in need to live with their families, such as day nurseries, family centres and home support workers.

Social Services is involved in cross service working on social inclusion, community safety, agenda 21, drug action team etc, and with other agencies such as the Police, probation service, Primary Care Trust & NHS trusts, in Joint Investment, Prevention, and "Better Care Higher Standards". Community Safety will now have its own individual report to the Directors Group.

1. PROGRESS/ISSUE REPORTING

 

Progress Made

Issues to be addressed

Status/Who ?

Leadership

Updates on July 02 report

Leadership cont...

New Items

A report on the implementation proposals for EPH's was agreed at 12th July Executive.

PROGRESS MADE

Development of the Local Public Service Agreement target for older people continues. A new national target for Local Public Service Agreement for older people was unveiled in September.

Staff involvement in the production of the Adult and Children & Family Service Plans has taken place.

A consultation exercise going ahead to consult on sites and model of care. A Special EPH Overview & Scrutiny Panel is being held on 22nd October. Results of the consultation will be presented to the 6th November Public Executive.

ISSUES TO BE ADDRESSED

Still awaiting clarification of this new target, which focuses on intensive home care. The 30% target increase appears to be flexible according to the starting position of each authority. We have agreed an outline with the DOH for our stretch target with which to enter negotiations in November.

The Service plan template is unable to capture the complexity of these large service areas. Therefore a more detailed service plan to underpin the summary is being produced in order to guide the content of subsequent Team plans and the Individual Performance Review process.

J Ashman

STATUS/

WHO?

G Terry / N Harris

M Lindsay /

N Harris

People Management

Update on July 02 report

New items

PROGRESS MADE

We are still experiencing delays by the National Criminal Records Bureau (CRB) in returning completed checks exacerbated by the priority given to completing checks on school teachers.

The Strategic Management Group for Social & Housing Services regularly monitors recruitment and retention data.

The latest group of child care social workers have successfully completed the Post Qualifying Child Care Award.

ISSUES TO BE ADDRESSED

The checks are now being completed more quickly with an average turnaround of about 4 weeks. However, due to the backlog we are still receiving checks requested in April. Priority seems to be given to staff dealing with children but there is no clear picture.

Consideration is regularly given to taking part in local careers fairs and taking out adverts in local papers, national journals and the internet is being increasingly used to place adverts.

Two neighbouring Local Authorities have introduced increases in salary scales for social workers with particular additional qualifications. This could impact on our ability to recruit and retain social work staff. The regular data will alert us to any signs of this.

Now an agreement has been secured with the unions to pay up to 2 additional increments to Social workers it is anticipated that this will help us stay competitive.

All child care social workers are required to possess this award to continue practising. A rolling programme of training continues which impacts on the capacity of the service unless back fill arrangements are made.

STATUS/

WHO?

A Saunders

M Lindsay

Policy and Strategy

Update on July 02 report

New Items

PROGRESS MADE

The national star ratings announcement was made on the 30th May. Bath & North East Somerset Social Services was awarded 1 star. A refreshment of the rating took place in September with our Social Services Inspectorate link inspector.

Sure Start:. We continue to collaborate with colleagues from Education Early Years Team, Health and the voluntary sector to establish a Sure Start Partnership. The boundary of the Sure Start programme area in south west Bath is agreed and local agencies, organisations and parents are involved in the Partnership. A Programme Co-ordinator was appointed last week (on Education payroll) who will help write the Sure Start Plan to be submitted in January.

The inter area intensive supervision and surveillance programme (ISSP) has been established by the Youth Offending Team, to receive referrals in line with Gov't targets.

ISSUES TO BE ADDRESSED

The result of the refreshing of our star rating which took into account our excellent Performance Assessment Framework (PAF) performance indicator results at Mar 2002 will not be known until the end of October. The social service star rating has an important bearing on the overall rating for the Council in the Comprehensive Performance Assessment because it restricts the maximum rating the council can receive.

Difficulties in recruiting a co-ordinator for the ISSP and an acting co-ordinator is in post whilst re-advertising. Accommodation for the ISSP still to be found.

STATUS/

WHO?

J Ashman

M Lindsay

Resources

Update on July 02 report

New Items

PROGRESS MADE

Staff moved into Plymouth House on the 14th October. Plans for the use of Lewis House are continuing and include space for Care Direct. A decision from the minister responsible is expected late October on the future of Care Direct.

At present the Social Services budget is forecast to be on target.

"Fairer Charging" Mandatory Guidance from DOH is being put in place. A possible joint finance assessment team is being discussed with Dep't of Work & Pensions.

ISSUES TO BE ADDRESSED

There are difficulties with the amount of space available in the reconfiguration of Lewis House in accordance with the strategic accommodation policy and the use of more flexible working. It appears that there is insufficient space to accommodate all the staff remaining in 7 North Parade Buildings.

The impact of the cost of placements for Looked After Children with complex needs is being monitored very closely.

To determine available staff and property resources to commit to this team.

STATUS/

WHO?

J Ashman

L Frankland

N Harris / L Frankland

Process

Update on July 02 report

New Items

PROGRESS MADE

The Care Direct Project is on hold whilst the Government decide whether or not to proceed. Decision due late October.

The programme of Best Value Reviews for Social & Housing services will be reviewed sometime between January and March 2003 following the results of the Council's Comprehensive Performance Assessment.

ISSUES TO BE ADDRESSED

We intend to continue some of the work developed so far on Care Direct, in particular that with the Dep't of Work & Pensions. A type of one stop shop could still be offered in Lewis House.

Discussed the programme of SSI Inspections for the next 3 years with our business link inspector. Awaiting confirmation of these to avoid overlaps.

STATUS/

WHO?

Nick Harris

G Terry

2. RESULTS AGAINST TARGETS

Reporting on the commitments made in the Council Strategy and Performance Plan.

Summary of performance

Performance targets

No.

%

RED

1

2

AMBER

5

12

GREEN

35

86

NOT KNOWN

   

Origin

Ref

Indicator

1999/00

Actual

2000/01 Actual

2001/02

Actual

2002/03 Target

2002/3 Estimate

Status

Comment

BV50 PAF A2

 

Percentage of children leaving care aged 16 or over with at least one GCSE at grades A-G or GNVQ

70

42

60

75

65

Amber

Small cohort , volatile indicator.

BV52 PAF B12

 

Average gross weekly cost of providing intensive social care for adults and older people(£)

373

432

400

395

 

Amber

Costs reflect increase in fees paid to homes and higher cost of in house EPH'S.

BV56 PAF D38

 

Percentage of items of equipment costing less than £1000 delivered within three weeks

90

85

92

(83%)

96

94

Amber

Performance being monitored following audit lowered performance result for 01/02 to 83%.

PAF A3

 

Re-registrations on the child protection register

7

9

18.2

   

Amber

Top DOH banding is 10-15%.

All re registrations monitored

BV161

PAF A4

 

Employment, education and training for care leavers (newly available in 2002)

   

30.8

85

 

Amber

Tracking suggests improved performance this year, but ambitious target in QP MAP.

Target of 80% set in BVLP Plan

BV55 PAF D40

 

Clients receiving a review

   

53.2

42.8

60

Red

Insufficient staffing resources to meet this target. Likely to be addressed by Local Public Service Agreement

Origin

Ref

Indicator

1999/00

Actual

2000/01 Actual

2001/02

Actual

2002/03 Target

2002/3 Estimate

Status

Comment

BV49 PAF A1

 

Stability of placements of children looked after

14

16

11.6

   

Green

 

PAF B7

 

Children looked after in family placements

90

91

87

   

Green

 

BV51 PAF B8

 

Cost of services for children looked after

230

301

300

   

Green

 

PAF B9

 

Unit cost of children's residential care

1,881

3,438

1,874

   

Green

 

PAF B10

 

Unit cost of foster care

195

228

259

   

Green

 

PAF B11

 

Intensive home care as a proportion of intensive home andresidential care

6

9

12

   

Green

 

PAF B13

 

Unit cost of residential and nursing care for older people

281

340

340

   

Green

 

Origin

Ref

Indicator

1999/00

Actual

2000/01 Actual

2001/02

Actual

2002/03 Target

2002/3 Estimate

Status

Comment

PAF B14

 

Unit cost of residential and nursing care for people withlearning disabilities

495

619

714

   

Green

 

PAF B15

 

Unit cost of residential and nursing care for people withmental illness

639

424

423

   

Green

 

PAF B16

 

Unit cost of residential and nursing care for people withphysical disabilities

422

591

597

   

Green

 

PAF B17

 

Unit cost of home care for adults

15.8

12.4

12.1

   

Green

 

PAF C18

 

Cautions and convictions of children looked after

 

1.7

1.6

   

Green

 

PAF C19

 

Health of children looked after

 

85

85.5

   

Green

 

PAF C20

 

Reviews of child protection cases

55

80

95.7

   

Green

 

Origin

Ref

Indicator

1999/00

Actual

2000/01 Actual

2001/02

Actual

2002/03 Target

2002/3 Estimate

Status

Comment

PAF C21

 

Duration on the child protection register

21

14

7.3

   

Green

 

PAF C22

 

Young children looked after in family placements

98

100

98.1

   

Green

 

PAF C23

 

Adoptions of children looked after

6.8

4.3

6.8

   

Green

 

PAF C24

 

Children looked after absent from school [joint working]

1

8.5

   

Green

 

PAF C26

 

Admissions of supported residents aged 65 or over to residential/nursing care

122

111

96

   

Green

 

PAF C27

 

Admissions of supported residents aged 18-64 to residential/nursing care

2.8

2.1

2.2

   

Green

 

BV53 PAF C28

 

Intensive home care

2.2

3.4

4.1

   

Green

 

Origin

Ref

Indicator

1999/00

Actual

2000/01 Actual

2001/02

Actual

2002/03 Target

2002/3 Estimate

Status

Comment

PAF C29

 

People with physical disabilities helped to live at home

2.7

3.8

3.8

   

Green

 

PAF C30

 

People with learning disabilities helped to live at home

2.8

3.3

3.5

   

Green

 

PAF C31

 

Adults with mental health problems helped to live at home

2.5

3.5

4.1

   

Green

 

BV54 PAF C32

 

Older people (aged 65 or over) helped to live at home

60

69

74

   

Green

 

PAF C34

 

Inspection of adult residential care

100

100

100

   

Green

 

PAF D35

 

Long term stability of children looked after

66

58

61.3

   

Green

 

BV57 PAF D36

 

Users/carers who said they got help quickly

 

91

84

   

Green

 

Origin

Ref

Indicator

1999/00

Actual

2000/01 Actual

2001/02

Actual

2002/03 Target

2002/3 Estimate

Status

Comment

PAF D37

 

Availability of single rooms

100

94

96

   

Green

 

BV58 PAF D39

 

Percentage of people receiving a statement of their needsand how they will be met

89

92

95.6

   

Green

 

PAF D42

 

Carer assessments

 

4

21

   

Green

 

PAF D43

 

Waiting time for care packages

   

31

   

Green

 

BV61 PAF E44

 

Relative spend on family support

             

PAF E45

 

Ethnicity of children in need

3.65

Not required

4.7

   

Green

 

BV60 PAF E46

 

Users/carers who said that matters relating to race, culture or religion were noted_

 

29

46

   

Green

 

Origin

Ref

Indicator

1999/00

Actual

2000/01 Actual

2001/02

Actual

2002/03 Target

2002/3 Estimate

Status

Comment

PAF E47

 

Ethnicity of older people receiving assessment

   

1.88

   

Green

 

PAF E48

 

Ethnicity of older adults receiving services following anassessment

   

0.91

   

Green

 

BV59 PAF E49

 

Assessments per head of population

 

87

88

   

Green

 

PAF E50

 

Assessments leading to provision of service

 

66

82

   

Green

 

Please note the DoH has provided original and adjusted figures for some of the PIs - the table has just got the original figures.