Meeting documents

Cabinet
Wednesday, 9th July, 2003

Report to Directors Group

Date

25th June 2003

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.

1. PROGRESS/ISSUE REPORTING

 

Progress Made

Issues to be addressed

Status/Who ?

Leadership

Updates on October 02 report

Leadership

New Items

Agreement to seek an RSL partner to fulfil landlord functions for sheltered and extra care elements of new elderly person provision was secured on 10.03.03

A `road show' touring existing EPH's to up-date residents and staff has been completed.

Working to try to support local NHS Trusts in their service and financial recovery plans.

Selection of EPH's `Lead Designer' from a list of three possibles.

Selection of RSL partner, 17 expressions of interest received.

Continued uncertainties and changing management at RUH is hampering ability to make robust plans for responding to and managing the impending fines for delayed discharge.

M. Gray

J Ashman /

N Harris

 

Progress Made

Issues to be addressed

Status/Who ?

People Management

New items

Policy and Strategy

Update on October 02 report

Senior management sub-group working with HR manager to develop a robust workforce strategy.

Amalgamation of family centres, successful redeployment of all staff

Majority of staff from the Homeward centre successfully redeployed

Visit to the NVQ Assessment Centre by the external City & Guilds external verifier resulted in the award of their highest grading so far.

Training on Fair Access to Care Services delivered to all relevant Adult Care staff

`Refreshment' of the national star ratings in November 20002 gave BANES Social Services a `2' star rating.

Delivery and Improvement Statement successfully completed and submitted to the SSI by the 30th may deadline. This provides an assessment of our progress on last years priorities, outturn information on targets, and set out our priorities for the coming year. This information will feed into our Annual Review Meeting with the SSI

Negotiations with Trade Unions regarding the new terms and conditions for home care and residential care programme.

Annual Review Meeting with the SSI on 1st July 2003. Assesses the overall progress of Social Services leading to the star rating judgement that will be published in November 2003.

A.Saunders / M.Lyndsay / N.Harris / J.Shayler.

J.Ashman

 

Progress Made

Issues to be addressed

Status/Who ?

Policy and Strategy

New Items

Resources

Update on October 02 report

Submission to the Youth Justice Board of the self assessment baseline and Improvement Plan for the national Key Elements of Effective Practice.

Workforce and Training Plan and Day Services Strategy (requirements within the Valuing People White Paper) have been submitted to the Department of Health.

Annual Youth Justice Plan completed and submitted to National Youth Justice Board

Stakeholders Day held for a wide range of social care staff, district nurses, health visitors, clinicians and acute hospital staff on the introduction of a common assessment process (the Single Assessment Process) for Older People

2002/03 budget was overspent. Major pressures areas as predicted have been: Homecare; Residential purchasing fees; and Children's placements.

Scoping work undertaken on likely effects of `passporting' for the next 3 years against predicted cost pressures. Significant financial gaps identified, particularly in 2004/05.

Monitoring report on progress against national targets to overview and scrutiny panel

Implementation due April 2005 and will require significant training on resulting issues and culture change for a range of professional disciplines.

Consultation on and improvement of homecare project required to control costs in future years.

A range of activity and working groups set up to try and mitigate the pressures identified and/or ascertain compensating savings

M.Lyndsay

N.Harris

N.Harris

J.Ashman

 

Progress Made

Issues to be addressed

Status/Who ?

Resources

New Items

Process

Update on October 02 report

Contract signed with OLM for the provision of client index software.

Agreement reached across the ex-Avon authorities on nursing home and residential care fees for 2003/04, for Older People, following work in partnership with representatives of the independent sector.

The Children's Fund partnership has agreed to fund a Youth Inclusion and Support Panel and a detailed proposal has been prepared.

Review of allowances for foster carers completed.

Work in progress to determine expenditure on the Access and Systems Capacity Grant

Following the demise of the Care Direct Project a joint working team with the Department of Work and Pensions has been developed to deal with Financial Assessments for contributions to services. This ensures entitlement to benefits is assessed at the same time to try and address the underclaiming of benefits particulaly amongst older people. This was prompted by the joint working arrangements proposed in the Care Direct Project.

System online by June 2004

Further work on costs of specialist placements for people with Learning Difficulties and people with Mental Health Problems being progressed.

Ensure grant is targeted towards the improvement of performance within assessment teams and the delivery of home care services.

N.Harris

J.Ashman / J.Overton

N.Harris

N.Harris

 

Progress Made

Issues to be addressed

Status/Who ?

Process

New Items

Agreement in principle has been reached to establish a single point of entry for a range of adult care and primary care trust related services, including intermediate care, at Lewis House.

SSI Inspection of Older People's services announced for January 2004

Audit of services against recommendations of Climbie Inquiry Report completed and submitted to SSI. Report broadly very positive with some areas for improvement.

Audit of reviewing arrangements for Looked After Children completed

Inspection of Fostering Services by National Care Standards Commission (NCSC) took place April 2003.

Preparation work for this inspection is underway.

Implement action plan

Implement action plan to further improve performance

Verbal feedback positive, report awaited

N.Harris /

K.Ogilvie

M.Lindsay

M.Lindsay

M.Lindsay

2. RESULTS AGAINST TARGETS DRAFT

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

Summary of Performance

Performance Targets

No

%

Amber

5

36

Green

9

64

Red

0

0

Ref

Indicator

Top 25%

2001/02 Actual

2002/03
Actual

2003/04
Plan

2003/04
Progress to Date

Status

Comment

49

The percentage of children looked after at 31 March with 3 or more placements during the year

DoH top band 0-16%

11.6%

10.1%

10.0%

9%

Green

 

50

Percentage of young people leaving care aged 16 or over with at least 1 GCSE at Grade A*- G or a GNVQ

DoH top band
70-100%

60%

80%

60%

No interim data

Green

 

161

Percentage of those young people who were looked after on 1 April in their 17th year who were engaged in education, training or employment at the age of 19

DoH top band

53%+

31%

45.5%

50%

No interim data

Green

 

51

Average gross weekly expenditure per looked after child in foster care or in a children's home

DoH top band
£323-431

£300

£445

 

No interim data

Green

New definition

52

Average gross weekly expenditure per person on supporting adults and older people in residential and nursing care and providing intensive home care

DoH top band
£268-357

£447

£449

 

No interim data

Green

New Definition

53

Households receiving intensive home care per 1,000 population aged 65 or over

DoH top band
16-25

4.1

4.9

5.3

No interim data

Green

 

54

Older people (aged 65 or over) helped to live at home per 1,000 population

DoH top band
100-140

74

71.5

67.1

No interim data

Green

 

162

Percentage of child protection cases which should have been reviewed during the year that were reviewed

DoH top band
95-100%

100%

100%

100%

92%

Amber

New Definition for 2003-04

Ref

Indicator

Top 25%

2001/02 Actual

2002/03
Actual

2003/04
Plan

2003/04
Progress to Date

Status

Comment

163

Number of looked after children adopted during the year as a percentage of the number of children looked after at 31st March who had been looked after for 6 months or more

DoH top band
7-15%

7%

3.8%

7%

4%

Amber

Small group of children thus very volatile indicator. Encouraging signs but still too few children being put forward for adoption Impacted by delays in court proceedings Now being closely monitored and improvements are expected.

55

Adult and older clients receiving a review as a percentage of those receiving a service

DoH top band
60-95%

43%

47%

60%

48%

Amber

Allocating additional resources to meet requirements of Fair Access to Care

56

Percentage of items of equipment costing less than £1,000 delivered within three weeks

DoH top band
95.57-100%

83%

93.2%

97%

No interim data

Amber

Change of definition 2003-04

58

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

100%

96%

96.6%

98%

No interim data

Amber

 

182

Users who said they were satisfied with the help they received from Social Services

Not yet notified

 

66%

 

No interim data

Green

New Indicator

190

Users who said that if they asked for changes to services those changes were made

Not yet notified

 

75%

 

No interim data

Green

New Indicator

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

Staff

 

Number of Staff

% of workforce

Grade

     

Lowest

Highest

Disabled Staff

31

3%

Man 1

G

Disabled Staff (DDA definition)

22

2%

Man 1

G

Black and minority ethnic staff

39

3%

Man 1

I

"Other White" minority ethnic staff

23

2%

Man 1

I

Service User from Ethnic Minorities as recorded for June 2003

 

Number of Clients

% of Clients

Adult services

98

2.5%

Children & Family Services

58

10.5%